Active NPI
Paula S Pearl, C.R.N.P.
- Adult Health Nurse Practitioner
- Baltimore, MD
National Provider Identifier
1427149707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- R055125
- Practice address
- 6569 N Charles St
Ste 205
Baltimore, MD 21204-6831 - Phone
- (443) 849-3051
- NPI assigned
- Sep 28, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | R055125 | MD | Primary |
Addresses
Primary practice location
6569 N Charles St
Ste 205
Baltimore, MD 21204-6831
Mailing address
PO Box 631568
Baltimore, MD 21263-1568
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| KJ31GB/708021-01 | Other | MD | CAREFIRST MARYLAND |
| KJ44GB/708021-02 | Other | MD | CAREFIRST OF MARYLAND |
| S124/0005 | Other | MD | CAREFIRST REGIONAL |
| 621061900 | Medicaid | MD | |
| S131/0002 | Other | MD | CAREFIRST REGIONAL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R055125 | MD | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208736000000",
"number": "1427149707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 631568",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212631568"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6569 N CHARLES ST",
"address_2": "STE 205",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212046831",
"telephone_number": "443-849-3051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEARL",
"first_name": "PAULA",
"middle_name": "S",
"name_prefix": "Mrs.",
"credential": "C.R.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-28",
"last_updated": "2008-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MD",
"license": "R055125",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST MARYLAND",
"identifier": "KJ31GB/708021-01",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST OF MARYLAND",
"identifier": "KJ44GB/708021-02",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST REGIONAL",
"identifier": "S124/0005",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "621061900",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST REGIONAL",
"identifier": "S131/0002",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.