Nancy Annette Demetrician, RN

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

RN 231662 Issued in OH

Practice address

2480 Llewellyn Ave
Fort Meade, MD 20755-7081

Phone

(301) 677-8060

Fax

(301) 677-8080

NPI assigned

Jan 18, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1295308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295308800000",
    "number": "1578868964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2480 LLEWELLYN AVE",
            "address_2": "KIMBROUGH AMBULATORY CARE CENTER",
            "city": "FORT GEORGE G. MEADE",
            "state": "MD",
            "postal_code": "207555800",
            "telephone_number": "301-677-8060",
            "fax_number": "301-677-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2480 LLEWELLYN AVE",
            "city": "FORT MEADE",
            "state": "MD",
            "postal_code": "207557081",
            "telephone_number": "301-677-8060",
            "fax_number": "301-677-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMETRICIAN",
        "first_name": "NANCY",
        "middle_name": "ANNETTE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-18",
        "last_updated": "2011-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "OH",
            "license": "RN 231662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martha Davis
• Russell O Davis III, DO
• Tamatha Henderson Davis, LPN
• Sarah Deal, PSYD
• Kathleen Theresa Deck, PT
• Susan A Demuth, M.D.
• Swati Manoj Desai
• Amanda Droutsas
• Vickie R Ellis, LCSW
• Epes Dental Clinic

• Case Management Registered Nurse in Fort Meade, MD
• Providers in Fort Meade, MD by specialty
• Case Management Registered Nurse in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2011; 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.