Active NPI
Nicole Ferris
- Dental Hygienist
- Fort George G Meade, MD
National Provider Identifier
1508215765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 5807
- Practice address
- 8472 Simmond St Ste 5700
Fort George G Meade, MD 20755-5700 - Phone
- (301) 677-6122
- Fax
- (301) 677-5710
- NPI assigned
- Jun 8, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 5807 | MD | Primary |
Addresses
Primary practice location
8472 Simmond St Ste 5700
Fort George G Meade, MD 20755-5700
Mailing address
8476 Simond St Ste 5700
Fort George G. Meade, MD 20755
Phone (301) 677-6122
Other names 1
- Nicole Cucina
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5807 | MD | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655164800000",
"number": "1508215765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8476 SIMOND ST STE 5700",
"city": "FORT GEORGE G. MEADE",
"state": "MD",
"postal_code": "20755",
"telephone_number": "301-677-6122",
"fax_number": "301-677-5710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8472 SIMMOND ST STE 5700",
"city": "FORT GEORGE G MEADE",
"state": "MD",
"postal_code": "207555700",
"telephone_number": "301-677-6122",
"fax_number": "301-677-5710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERRIS",
"first_name": "NICOLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-06-08",
"last_updated": "2022-06-14",
"certification_date": "2022-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "MD",
"license": "5807",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NICOLE",
"last_name": "CUCINA",
"credential": "RDH",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Fort George G Meade, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.