Individual provider Active NPI

Diane Roberta Genther, ADULT CERTIFIED NURS

  • Adult Health Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1457352551
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
RO3229 Issued in MD
Practice address
4110 Taylor Ave
Baltimore, MD 21236-4608
Phone
(410) 665-0063
NPI assigned
Aug 10, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X RO3229 MD Primary

Addresses

Primary practice location

4110 Taylor Ave
Baltimore, MD 21236-4608

Mailing address

4110 Taylor Ave
Baltimore, MD 21236-4608
Phone (410) 665-0063

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RO3229MDMDAdult Health Nurse Practitioner

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457352551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4110 TAYLOR AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212364608",
            "telephone_number": "410-665-0063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4110 TAYLOR AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212364608",
            "telephone_number": "410-665-0063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENTHER",
        "first_name": "DIANE",
        "middle_name": "ROBERTA",
        "name_prefix": "Ms.",
        "credential": "ADULT CERTIFIED NURS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MD",
            "license": "RO3229",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.