Active NPI
Jorjan Gimmison Boord, R.N., RNFA
- Registered Nurse First Assistant
- Annapolis, MD
National Provider Identifier
1598039703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse First Assistant
- License
- R092996
- Practice address
- 2001 Medical Pkwy
Annapolis, MD 21401-3280 - Phone
- (410) 227-1893
- NPI assigned
- Mar 6, 2012
- 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 |
|---|---|---|---|---|
| Registered Nurse First Assistant | 163WR0006X | R092996 | MD | Primary |
Addresses
Primary practice location
2001 Medical Pkwy
Annapolis, MD 21401-3280
Mailing address
271 Capote CT W
Severna Park, MD 21146-2132
Phone (410) 227-1893
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R092996 | MD | MD | Registered Nurse First Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330992000000",
"number": "1598039703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "271 CAPOTE CT W",
"city": "SEVERNA PARK",
"state": "MD",
"postal_code": "211462132",
"telephone_number": "410-227-1893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 MEDICAL PKWY",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214013280",
"telephone_number": "410-227-1893"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOORD",
"first_name": "JORJAN",
"middle_name": "GIMMISON",
"name_prefix": "Mrs.",
"credential": "R.N., RNFA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-03-06",
"last_updated": "2012-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "163WR0006X",
"taxonomy_group": "",
"desc": "Registered Nurse, Registered Nurse First Assistant",
"state": "MD",
"license": "R092996",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Annapolis, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.