Individual provider Active NPI

Mary Bienoseh, CRNP, CCNS

  • Acute Care Nurse Practitioner
  • Silver Sping, MD
National Provider Identifier
1619316338
Registry record updated Oct 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
R170371 Issued in MD
Practice address
1500 Forest Glen Rd
Holy Cross Healthcare
Silver Sping, MD 20910
Phone
(443) 326-3550
NPI assigned
Jun 15, 2013
Last updated
Oct 21, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X R170371 MD Primary
Clinical Nurse Specialist 364S00000X CS00075 MD

Addresses

Primary practice location

1500 Forest Glen Rd
Holy Cross Healthcare
Silver Sping, MD 20910

Mailing address

PO Box 2294
Ellicott City, MD 21041-2294
Phone (443) 326-3550

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
Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1371254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477008000000",
    "number": "1619316338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2294",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210412294",
            "telephone_number": "443-326-3550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 FOREST GLEN RD",
            "address_2": "HOLY CROSS HEALTHCARE",
            "city": "SILVER SPING",
            "state": "MD",
            "postal_code": "20910",
            "telephone_number": "443-326-3550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIENOSEH",
        "first_name": "MARY",
        "credential": "CRNP, CCNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-15",
        "last_updated": "2016-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MD",
            "license": "R170371",
            "primary": true
        },
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "MD",
            "license": "CS00075",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Sping, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2016; 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.