Caring Hands of Fredrick, LLC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

R050640 Issued in MD

Legal business name

CARING HANDS OF FREDRICK, LLC

Practice address

4202 Green Valley Rd
Monrovia, MD 21770-9517

Phone

(301) 865-4484

Fax

(301) 865-2844

NPI assigned

May 23, 2007

Organization subpart

No

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

Authorized official

Name

Pamela Jean Eaton, CRNP-MSNNPI 1922005875

Title

Owner

Phone

(301) 865-4484

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Pamela Jean Eaton, CRNP-A MSN

  • Adult Health Nurse Practitioner
  • Monrovia, MD
  • NPI 1922005875

  Adult Health, MD

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1497965727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4202 GREEN VALLEY RD",
            "city": "MONROVIA",
            "state": "MD",
            "postal_code": "217709517",
            "telephone_number": "301-865-4484",
            "fax_number": "301-865-2844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4202 GREEN VALLEY RD",
            "city": "MONROVIA",
            "state": "MD",
            "postal_code": "217709517",
            "telephone_number": "301-865-4484",
            "fax_number": "301-865-2844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARING HANDS OF FREDRICK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "EATON",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-865-4484",
        "authorized_official_credential": "CRNP-MSN"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MD",
            "license": "R050640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONER",
            "identifier": "R050640",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Monrovia, MD
• Adult Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.