Individual provider Active NPI

Christy A Mempin

  • Registered Nurse
  • Rockville, MD
National Provider Identifier
1629741335
Registry record updated Sep 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
R249385 Issued in MD
Practice address
15955 Frederick Rd Apt 2449
Rockville, MD 20855-2317
Phone
(301) 395-9092
NPI assigned
Jul 28, 2021
Last updated
Sep 8, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R249385 MD Primary

Addresses

Primary practice location

15955 Frederick Rd Apt 2449
Rockville, MD 20855-2317

Mailing address

15955 Frederick Rd Apt 2449
Rockville, MD 20855-2317
Phone (301) 395-9092

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

State licenses

LicenseStateTypeSpecialty
R249385MDMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1627430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631059200000",
    "number": "1629741335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15955 FREDERICK RD APT 2449",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208552317",
            "telephone_number": "301-395-9092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15955 FREDERICK RD APT 2449",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208552317",
            "telephone_number": "301-395-9092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEMPIN",
        "first_name": "CHRISTY",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-28",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R249385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2021; 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.