Individual provider Active NPI

Ruthetta Banks

  • Acute Care Nurse Practitioner
  • Glen Burnie, MD
National Provider Identifier
1497148530
Registry record updated Oct 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
R239428 Issued in MD
Practice address
301 Hospital Dr
Glen Burnie, MD 21061-5803
Phone
(410) 787-4000
NPI assigned
Mar 13, 2015
Last updated
Oct 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5007546 NC
Acute Care Nurse Practitioner 363LA2100X R239428 MD Primary

Addresses

Primary practice location

301 Hospital Dr
Glen Burnie, MD 21061-5803

Mailing address

1350 S Kings Dr
Charlotte, NC 28207-2134

Other practice location 1

1350 S Kings Dr
Charlotte, NC 28207-2134
Phone (704) 446-1255

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, MD, DC3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20190425000639 SC Practitioner - Nurse Practitioner 0244541720 Reassigns benefits to 2 organizations
I20191001002886 MD Practitioner - Nurse Practitioner 0244541720 Reassigns benefits to 3 organizations
I20210721004047 DC Practitioner - Nurse Practitioner 0244541720 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mdics at Anne Arundel LLCGroup PAC ID 1456515519, 32 clinicians
Mdics at BWMC LLCGroup PAC ID 7315106184, 77 clinicians

Practice addresses (Care Compare)

2001 Medical Pkwy
Annapolis, MD 21401-3773
Phone (443) 481-1000

301 Hospital Dr
Glen Burnie, MD 21061-5803
Phone (443) 949-0814

904 Commerce Rd
Annapolis, MD 21401-2948
Phone (410) 849-6140

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
22552SCMDPediatrics Physician
5007546NCMDNurse Practitioner
R239428MDMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Adfinitas Health at Umcap, LLC CurrentSince Apr 8, 2023 Accepting new patients
Mdics at BWMC LLC CurrentSince Oct 5, 2022 Accepting new patients
Mdics at Meritus Medical Center, LLC CurrentSince Oct 5, 2022 Accepting new patients
Mdics at Anne Arundel LLC CurrentSince Apr 8, 2023 Accepting new patients
Cogent Healthcare of Georgia PC Nurse Practitioner CurrentSince Feb 22, 2019 Accepting new patients
Sound Physicians of South Carolina, LLC CurrentSince Feb 22, 2019 Accepting new patients
Mdics at Calvert LLC Past Accepting new patients
Columbus Regional Health Network Past Accepting new patients
Dimensions Health Corporation Past Accepting new patients

Locations

2001 Medical Pkwy
Annapolis, MD 21401
Phone (410) 280-5601

904 Commerce Rd
Annapolis, MD 21401
Phone (410) 849-6140

301 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 787-4565

11116 Medical Campus Rd
Hagerstown, MD 21742
Phone (301) 766-7600

901 Harry S Truman Dr N
Uppr Marlboro, MD 20774
Phone (240) 677-0021

302 University Pkwy
Aiken, SC 29801
Phone (803) 279-3940

3000 Saint Matthews Rd
Orangeburg, SC 29118
Phone (803) 395-2200

5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674

Interoperability endpoints

  • Direct secure messaging: rbanks161762@direct.aahs.org

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1426204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666915200000",
    "number": "1497148530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 S KINGS DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282072134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 HOSPITAL DR",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615803",
            "telephone_number": "410-787-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1350 S Kings Dr",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282072134",
            "country_code": "US",
            "telephone_number": "704-446-1255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BANKS",
        "first_name": "RUTHETTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-13",
        "last_updated": "2022-10-28",
        "certification_date": "2022-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5007546",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MD",
            "license": "R239428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

Verify at the official NPI Registry.