Organization Active NPI

CPT

  • Family Health Clinical Nurse Specialist
  • Cumberland, MD
National Provider Identifier
1487038543
Registry record updated Jul 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Health Clinical Nurse SpecialistTaxonomy code 364SF0001X
License
R201919 Issued in MD
Legal business name
CPT
Practice address
249 Henderson Ave
Cumberland, MD 21502-1638
Phone
(240) 362-7444
NPI assigned
Jul 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2015

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

Authorized official

Name
James Schnably
Title
Owner
Phone
(214) 435-4752

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Health Clinical Nurse SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 364SF0001X R201919 MD Primary

Addresses

Primary practice location

249 Henderson Ave
Cumberland, MD 21502-1638

Mailing address

249 Henderson Ave
Cumberland, MD 21502-1638
Phone (240) 362-7444

Other identifiers 1

IdentifierTypeStateIssuer
789005200MedicaidMD

Other names 1

  • potomac behavioral and occupational therapy Other name

National Provider Directory

National Provider Directory
Tax ID family
CPT LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1437091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437091200000",
    "number": "1487038543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 HENDERSON AVE",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215021638",
            "telephone_number": "240-362-7444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 HENDERSON AVE",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215021638",
            "telephone_number": "240-362-7444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CPT",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-17",
        "last_updated": "2015-07-17",
        "status": "A",
        "authorized_official_last_name": "SCHNABLY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-435-4752"
    },
    "taxonomies": [
        {
            "code": "364SF0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "MD",
            "license": "R201919",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "789005200",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "potomac behavioral and occupational therapy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cumberland, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2015; 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.