Individual provider Active NPI

Deborah L Badro, CRNP

  • Nurse Practitioner
  • Millersville, MD
National Provider Identifier
1508802331
Registry record updated Apr 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R104338 Issued in MD
Practice address
8601 Veterans Hwy
Ste 204
Millersville, MD 21108-1547
Phone
(410) 729-0424
Fax
(410) 729-0492
NPI assigned
Jun 21, 2006
Last updated
Apr 16, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R104338 MD Primary

Addresses

Primary practice location

8601 Veterans Hwy
Ste 204
Millersville, MD 21108-1547

Mailing address

PO Box 64042
Baltimore, MD 21264-4042
Phone (410) 787-4830

Other identifiers 7

IdentifierTypeStateIssuer
6003OtherMDBRAVO/ELDER HEALTH
69913OtherMDAMERIGROUP
208212OtherMDJOHNS HOPKINS HEALTH CARE
68687203OtherMDCARE FIRST BLUE CROSS
858052OtherMDNCPPO
O242-0017OtherDCCARE FIRST BLUE CROSS
42400500MedicaidMD

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

State licenses

LicenseStateTypeSpecialty
R104338MDMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Arundel Physicians Associates, LLC Past Accepting new patients
Baltimore Washington Medical Center Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: dbadro11727@direct.umm.edu
  • Direct secure messaging: deborah.badro.1@20571.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208304000000",
    "number": "1508802331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64042",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212644042",
            "telephone_number": "410-787-4830",
            "fax_number": "410-595-1933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8601 VETERANS HWY",
            "address_2": "STE 204",
            "city": "MILLERSVILLE",
            "state": "MD",
            "postal_code": "211081547",
            "telephone_number": "410-729-0424",
            "fax_number": "410-729-0492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADRO",
        "first_name": "DEBORAH",
        "middle_name": "L",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-21",
        "last_updated": "2008-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R104338",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BRAVO/ELDER HEALTH",
            "identifier": "6003",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "69913",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHNS HOPKINS HEALTH CARE",
            "identifier": "208212",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE FIRST BLUE CROSS",
            "identifier": "68687203",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPPO",
            "identifier": "858052",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE FIRST BLUE CROSS",
            "identifier": "O242-0017",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42400500",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Millersville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; 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.