Active NPI
Eileen Gemmell, CRNP
- Adult Health Nurse Practitioner
- Silver Spring, MD
National Provider Identifier
1437195062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- R158667
- Practice address
- 3110 Gracefield Rd
Silver Spring, MD 20904 - Phone
- (301) 572-8340
- Fax
- (301) 572-8403
- NPI assigned
- Jun 21, 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 | R158667 | MD | Primary |
Addresses
Primary practice location
3110 Gracefield Rd
Silver Spring, MD 20904
Mailing address
5525 Research Park Dr FL 4
Baltimore, MD 21228-4873
Phone (301) 572-8340
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 62119701 | Other | MD | BCBS OF MD |
| 0036 | Other | CAREFIRST | |
| 52-2096682 | Other | TRICARE NORTH | |
| 8301559 | Other | EVERCARE | |
| 403206300 | Medicaid | MD | |
| 262573538002 | Other | TRICARE - EMPLOYEE HEALTH |
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 |
|---|---|---|---|
| R158667 | MD | MD | Adult Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535587200000",
"number": "1437195062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5525 RESEARCH PARK DR FL 4",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212284873",
"telephone_number": "301-572-8340",
"fax_number": "301-572-8403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3110 GRACEFIELD RD",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "20904",
"telephone_number": "301-572-8340",
"fax_number": "301-572-8403"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEMMELL",
"first_name": "EILEEN",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-21",
"last_updated": "2018-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MD",
"license": "R158667",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MD",
"identifier": "62119701",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST",
"identifier": "0036",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE NORTH",
"identifier": "52-2096682",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EVERCARE",
"identifier": "8301559",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "403206300",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE - EMPLOYEE HEALTH",
"identifier": "262573538002",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.