Active NPI
June Sunyung Gupta, NURSE PRACTITIONER
- Women's Health Nurse Practitioner
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- R170167
- Practice address
- 330 N Howard St
Baltimore, MD 21201-3610 - Phone
- (410) 576-1414
- NPI assigned
- Oct 31, 2005
- Last updated
- Oct 14, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 201392011NP-PP | OR | |
| Women's Health Nurse Practitioner | 363LW0102X | R170167 | MD | Primary |
Addresses
Primary practice location
330 N Howard St
Baltimore, MD 21201-3610
Mailing address
1225 4TH St NE
Washington, DC 20002-3431
Phone (202) 347-8512
Other practice location 1
5001 Silver Hill Rd Ste 103
Suitland, MD 20746-5208
Phone (301) 241-0510
Other practice location 2
19650 Club House Rd Ste 104
Montgomery Village, MD 20886-3039
Phone (301) 208-1300
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2034969 | Medicaid | WA | |
| 547715800 | Medicaid | MD | |
| 500666326 | Medicaid | OR |
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 |
|---|---|---|---|
| R170167 | MD | MD | Women's Health Nurse Practitioner |
| 201392011NP-PP | OR | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Planned Parenthood of Maryland, Inc. | Past | Accepting new patients | |
| Planned Parenthood of Metropolitan Washington DC | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Planned Parenthood of Metropolitan Washington DC | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Ambulatory Family Planning Facility
- Baltimore, MD
- NPI 1235242082
-
- Gynecology Physician
- Montgomery Village, MD
- NPI 1245663434
-
- Gynecology Physician
- Washington, DC
- NPI 1538253786
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665705600000",
"number": "1639160518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1225 4TH ST NE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200023431",
"telephone_number": "202-347-8512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 N HOWARD ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212013610",
"telephone_number": "410-576-1414"
}
],
"practiceLocations": [
{
"address_1": "5001 Silver Hill Rd Ste 103",
"address_purpose": "LOCATION",
"city": "Suitland",
"state": "MD",
"postal_code": "207465208",
"country_code": "US",
"telephone_number": "301-241-0510",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "19650 Club House Rd Ste 104",
"address_purpose": "LOCATION",
"city": "Montgomery Village",
"state": "MD",
"postal_code": "208863039",
"country_code": "US",
"telephone_number": "301-208-1300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUPTA",
"first_name": "JUNE",
"middle_name": "SUNYUNG",
"credential": "NURSE PRACTITIONER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-31",
"last_updated": "2022-10-14",
"certification_date": "2022-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "OR",
"license": "201392011NP-PP",
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "MD",
"license": "R170167",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2034969",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "547715800",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500666326",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.