Active NPI
Jill Suzanne Justis-Tewey, MSN
- Family Nurse Practitioner
- Towson, MD
National Provider Identifier
1548254121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R118828
- Practice address
- 1238 Putty Hill Ave
#6
Towson, MD 21286-5844 - Phone
- (410) 823-2726
- NPI assigned
- Sep 9, 2005
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R118828 | MD | Primary |
Addresses
Primary practice location
1238 Putty Hill Ave
#6
Towson, MD 21286-5844
Mailing address
611 Edinshall TRL
Bel Air, MD 21014-2865
Phone (410) 838-9128
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, Master of Science - Nursing, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MNR Industries LLC | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Osler Drive Emergency Physcians Associates, P.a. | Past | Accepting new patients |
Organizations & group practices 3
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.
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
dba ExpressCare of Mount Airy
- Urgent Care Clinic/Center
- Mount Airy, MD
- NPI 1073963146
-
dba Odepa PA
- Emergency Medicine Physician
- Towson, MD
- NPI 1568421659
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1548254121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 EDINSHALL TRL",
"city": "BEL AIR",
"state": "MD",
"postal_code": "210142865",
"telephone_number": "410-838-9128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1238 PUTTY HILL AVE",
"address_2": "#6",
"city": "TOWSON",
"state": "MD",
"postal_code": "212865844",
"telephone_number": "410-823-2726"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUSTIS-TEWEY",
"first_name": "JILL",
"middle_name": "SUZANNE",
"credential": "MSN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "R118828",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Towson, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.