Active NPI
Elena M. Dujordan, C.R.N.P.
- Nurse Practitioner
- Salisbury, MD
National Provider Identifier
1669558227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- R152586
- Practice address
- 560 Riverside Dr
Suite a-204
Salisbury, MD 21801-4700 - Phone
- (410) 749-2922
- Fax
- (410) 546-0894
- NPI assigned
- Oct 27, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R152586 | MD | Primary |
Addresses
Primary practice location
560 Riverside Dr
Suite a-204
Salisbury, MD 21801-4700
Mailing address
560 Riverside Dr
Suite a-204
Salisbury, MD 21801-4700
Phone (410) 749-2922
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R152586 | Other | MD | STATE LICENSE |
Other names 1
- Elena D. Bayline
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R152586 | MD | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196640000000",
"number": "1669558227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "560 RIVERSIDE DR",
"address_2": "SUITE A-204",
"city": "SALISBURY",
"state": "MD",
"postal_code": "218014700",
"telephone_number": "410-749-2922",
"fax_number": "410-546-0894"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "560 RIVERSIDE DR",
"address_2": "SUITE A-204",
"city": "SALISBURY",
"state": "MD",
"postal_code": "218014700",
"telephone_number": "410-749-2922",
"fax_number": "410-546-0894"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUJORDAN",
"first_name": "ELENA",
"middle_name": "M.",
"credential": "C.R.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-27",
"last_updated": "2007-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MD",
"license": "R152586",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "R152586",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ELENA",
"last_name": "BAYLINE",
"middle_name": "D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Salisbury, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.