Individual provider Active NPI

Mary Weber, CRNP

  • Primary Care Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1669802187
Registry record updated Nov 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
R183438 Issued in MD
Practice address
5300 Alpha Commons Dr
Suite 105
Baltimore, MD 21224-2764
Phone
(410) 550-0477
Fax
(410) 550-0732
NPI assigned
Nov 19, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X R183438 MD Primary

Addresses

Primary practice location

5300 Alpha Commons Dr
Suite 105
Baltimore, MD 21224-2764

Mailing address

5300 Alpha Commons Dr
Suite 105
Baltimore, MD 21224-2764
Phone (410) 550-0477

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250108001759 MD Order and Referring Only - Nurse Practitioner 8628506383

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1384819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384819200000",
    "number": "1669802187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 ALPHA COMMONS DR",
            "address_2": "SUITE 105",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212242764",
            "telephone_number": "410-550-0477",
            "fax_number": "410-550-0732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 ALPHA COMMONS DR",
            "address_2": "SUITE 105",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212242764",
            "telephone_number": "410-550-0477",
            "fax_number": "410-550-0732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBER",
        "first_name": "MARY",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-19",
        "last_updated": "2013-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MD",
            "license": "R183438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.