Danielle Brummell, CRNP
Individual provider Active NPI Family Nurse Practitioner · Sparks, MD
NPI 1619704822 · NPPES record last updated Nov 4, 2024
Key facts
- NPI
- 1619704822
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- R192439 (MD)
- Practice address
- 909 Ridgebrook Rd
Sparks, MD 21152-9474 - Phone
- (301) 938-0115
- NPI assigned
- Sep 19, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MD, DE
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241226000061 | MD | Practitioner - Nurse Practitioner | 7315474707 | Reassigns benefits to 2 organizations |
| I20241226000137 | DE | Practitioner - Nurse Practitioner | 7315474707 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R192439 | MD | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healing Partners Plus PLLC | Current |
Accepting new patients | |
| Consonant Healing Medical Associates | Current |
Accepting new patients | |
| Consonant Healing Associates of de LLC | Current |
Accepting new patients |
Locations
231 S Washington St
Millsboro, DE 19966
Phone (302) 645-4664
10440 Little Patuxent Pkwy
Ste 300
Columbia, MD 21044
Phone (240) 203-4457
919 Seton Dr
Cumberland, MD 21502
Phone (301) 777-0622
8403 Colesville Rd
Ste 1100
Silver Spring, MD 20910
Phone (301) 905-7762
909 Ridgebrook Rd
Ste 300
Sparks Glencoe, MD 21152
Phone (443) 483-9300
909 Ridgebrook Rd
Ste 220
Sparks Glencoe, MD 21152
909 Ridgebrook Rd
Sparks Glencoe, MD 21152
Phone (301) 938-0115
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R192439 | MD | Yes |
Addresses
Primary practice location
909 Ridgebrook Rd
Sparks, MD 21152-9474
Mailing address
410 Morning Glory Dr
Denton, MD 21629-2726
Phone (443) 521-5016
NPI Registry JSON
{
"created_epoch": "1726704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730678400000",
"number": "1619704822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 MORNING GLORY DR",
"city": "DENTON",
"state": "MD",
"postal_code": "216292726",
"telephone_number": "443-521-5016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "909 RIDGEBROOK RD",
"city": "SPARKS",
"state": "MD",
"postal_code": "211529474",
"telephone_number": "301-938-0115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUMMELL",
"first_name": "DANIELLE",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-19",
"last_updated": "2024-11-04",
"certification_date": "2024-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "R192439",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sparks, MD
- Keona Brantley
- Adrian Joanne Bridgers
- Teresa Brightful
- Jalisa Brown
- Tavian Brown
- Tatyanah Brutus
- Anissa Bryant
- Dimia Bryant
- Bria Bullock
- Kei'Chae Burns
All providers in Sparks, MD · Family Nurse Practitioner in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 4, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.