Individual provider Active NPI

Olivia P Radcliffe, APRN/PMH,BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Lutherville, MD
National Provider Identifier
1487899167
Registry record updated Oct 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R095617 Issued in MD
Practice address
1740 York Rd
Suite 309
Lutherville, MD 21093-5606
Phone
(410) 825-2281
Fax
(410) 825-0757
NPI assigned
Dec 9, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R095617 MD Primary

Addresses

Primary practice location

1740 York Rd
Suite 309
Lutherville, MD 21093-5606

Mailing address

1740 York Rd
Suite 309
Lutherville, MD 21093-5606
Phone (410) 825-2281

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
Certified Registered Nurse, Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1228780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539734400000",
    "number": "1487899167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1740 YORK RD",
            "address_2": "SUITE 309",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210935606",
            "telephone_number": "410-825-2281",
            "fax_number": "410-825-0757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 YORK RD",
            "address_2": "SUITE 309",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210935606",
            "telephone_number": "410-825-2281",
            "fax_number": "410-825-0757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADCLIFFE",
        "first_name": "OLIVIA",
        "middle_name": "P",
        "credential": "APRN/PMH,BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-09",
        "last_updated": "2018-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R095617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutherville, MD

Sources for this page

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

Verify at the official NPI Registry.