Active NPI
Mary Smith, NP
- Neonatal Intensive Care Registered Nurse
- Silver Spring, MD
National Provider Identifier
1609848050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal Intensive Care Registered Nurse
- License
- R063119
- Practice address
- 1550 Forest Glen Rd
Silver Spring, MD 20910-1460 - Phone
- (240) 364-2510
- NPI assigned
- Feb 1, 2006
- 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 |
|---|---|---|---|---|
| Neonatal Intensive Care Registered Nurse | 163WN0002X | R063119 | MD | Primary |
Addresses
Primary practice location
1550 Forest Glen Rd
Silver Spring, MD 20910-1460
Mailing address
PO Box 2130
Germantown, MD 20875-2130
Phone (240) 364-2510
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R063119 | MD | MD | Neonatal Intensive Care Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1609848050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2130",
"city": "GERMANTOWN",
"state": "MD",
"postal_code": "208752130",
"telephone_number": "240-364-2510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1550 FOREST GLEN RD",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209101460",
"telephone_number": "240-364-2510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "MARY",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-01",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "163WN0002X",
"taxonomy_group": "",
"desc": "Registered Nurse, Neonatal Intensive Care",
"state": "MD",
"license": "R063119",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.