Active NPI
Joseph Spiccioli, RN
- Registered Nurse
- Severn, MD
National Provider Identifier
1669901773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- R177997
- Practice address
- 8304 Banister Rd
Severn, MD 21144-2822 - Phone
- (443) 453-6115
- Fax
- (844) 965-9440
- NPI assigned
- Jun 12, 2017
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R177997 | MD | Primary |
Addresses
Primary practice location
8304 Banister Rd
Severn, MD 21144-2822
Mailing address
8304 Banister Rd
Severn, MD 21144-2822
Phone (443) 453-6115
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R177997 | MD | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Picc Specialists, Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Pasadena, MD
- NPI 1134354566
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1497225600000",
"number": "1669901773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8304 BANISTER RD",
"city": "SEVERN",
"state": "MD",
"postal_code": "211442822",
"telephone_number": "443-453-6115",
"fax_number": "844-965-9440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8304 BANISTER RD",
"city": "SEVERN",
"state": "MD",
"postal_code": "211442822",
"telephone_number": "443-453-6115",
"fax_number": "844-965-9440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPICCIOLI",
"first_name": "JOSEPH",
"name_prefix": "Mr.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-12",
"last_updated": "2017-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MD",
"license": "R177997",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Severn, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.