Individual provider Active NPI

Lia Coombs, CRNP

  • Family Nurse Practitioner
  • Nottingham, MD
National Provider Identifier
1588401780
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R154053 Issued in MD
Practice address
5020 Campbell Blvd Ste L&M
Nottingham, MD 21236-4968
Phone
(410) 870-3808
NPI assigned
Jul 15, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R154053 MD Primary

Addresses

Primary practice location

5020 Campbell Blvd Ste L&M
Nottingham, MD 21236-4968

Mailing address

5020 Campbell Blvd Ste L&M
Nottingham, MD 21236-4968
Phone (410) 870-3808

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240829001498 MD Practitioner - Nurse Practitioner 7012456403 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medstar Health Weight Management, LLCGroup PAC ID 0840634267, 103 clinicians

Practice addresses (Care Compare)

1099 Winterson Rd
Suite 300
Linthicum, MD 21090-2279
Phone (800) 905-3261

5022 Campbell Blvd
Suite LM
Nottingham, MD 21236-4969
Phone (410) 870-3808

620 W Macphail Rd
Bel Air, MD 21014-4474
Phone (443) 819-3648

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Health Weight Management, LLC CurrentSince Aug 1, 2024 Accepting new patients

Locations

499 Idlewild Ave
Ste 104
Easton, MD 21601
Phone (410) 697-3832

1099 Winterson Rd
Ste 300
Linthicum Heights, MD 21090
Phone (443) 929-1785

5020 Campbell Blvd
Ste Lm
Nottingham, MD 21236
Phone (410) 870-3808

Interoperability endpoints

  • Direct secure messaging: coombs.lia@ca-md.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1721001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1588401780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5020 CAMPBELL BLVD STE L&M",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212364968",
            "telephone_number": "410-870-3808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5020 CAMPBELL BLVD STE L&M",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212364968",
            "telephone_number": "410-870-3808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOMBS",
        "first_name": "LIA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-15",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R154053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nottingham, MD

Sources for this page

Verify at the official NPI Registry.