Active NPI
Jennifer L. Dennis, RN
- Community Health Registered Nurse
- Berlin, MD
National Provider Identifier
1467536722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Registered Nurse
- License
- R157041
- Practice address
- 9730 Healthway Drive
Berlin Health Center
Berlin, MD 21811 - Phone
- (410) 629-0164
- Fax
- (410) 629-0185
- NPI assigned
- Oct 24, 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 |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | R157041 | MD | Primary |
Addresses
Primary practice location
9730 Healthway Drive
Berlin Health Center
Berlin, MD 21811
Mailing address
604 Forest Dr
Fruitland, MD 21826-1306
Phone (410) 341-7319
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R157041 | MD | MD | Community Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1467536722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "604 FOREST DR",
"city": "FRUITLAND",
"state": "MD",
"postal_code": "218261306",
"telephone_number": "410-341-7319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9730 HEALTHWAY DRIVE",
"address_2": "BERLIN HEALTH CENTER",
"city": "BERLIN",
"state": "MD",
"postal_code": "21811",
"telephone_number": "410-629-0164",
"fax_number": "410-629-0185"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DENNIS",
"first_name": "JENNIFER",
"middle_name": "L.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "MD",
"license": "R157041",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Berlin, 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.