Active NPI
Meredith C Lizmi, CRNP
- Nurse Practitioner
- Baltimore, MD
National Provider Identifier
1659319242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- R152870
- Practice address
- 6701 N Charles St Ste 3105
Baltimore, MD 21204-6808 - Phone
- (443) 849-2600
- Fax
- (443) 849-2620
- NPI assigned
- Jun 3, 2006
- Last updated
- Nov 16, 2009
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R152870 | MD | Primary |
| Adult Health Nurse Practitioner | 363LA2200X | R152870 | MD |
Addresses
Primary practice location
6701 N Charles St Ste 3105
Baltimore, MD 21204-6808
Mailing address
PO Box 631568
Baltimore, MD 21263-1568
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| KJ31/621909-03 | Other | MD | CAREFIRST MD-GBMC |
| 403735900 | Medicaid | MD | |
| KT93ST / 621909-01 | Other | MD | BC / BS OF MD |
| S131/0004 | Other | MD | CAREFIRST REGIONAL-GBMC |
| S186 / 0066 | Other | MD | BLUECHOICE |
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": "1149292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258329600000",
"number": "1659319242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 631568",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212631568"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6701 N CHARLES ST STE 3105",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212046808",
"telephone_number": "443-849-2600",
"fax_number": "443-849-2620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIZMI",
"first_name": "MEREDITH",
"middle_name": "C",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-03",
"last_updated": "2009-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MD",
"license": "R152870",
"primary": true
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MD",
"license": "R152870",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST MD-GBMC",
"identifier": "KJ31/621909-03",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "403735900",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC / BS OF MD",
"identifier": "KT93ST / 621909-01",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST REGIONAL-GBMC",
"identifier": "S131/0004",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECHOICE",
"identifier": "S186 / 0066",
"state": "MD"
}
],
"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 Nov 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.