Individual provider Active NPI

Mariya Rogers, FNP

  • Family Nurse Practitioner
  • Dundalk, MD
National Provider Identifier
1679055420
Registry record updated Mar 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R196400 Issued in MD
Practice address
1576 Merritt Blvd Ste 18
Dundalk, MD 21222
Phone
(410) 571-2946
NPI assigned
Aug 29, 2018
Last updated
Mar 19, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R196400 MD Primary

Addresses

Primary practice location

1576 Merritt Blvd Ste 18
Dundalk, MD 21222

Mailing address

1576 Merritt Blvd # 18
Dundalk, MD 21222-2132
Phone (443) 693-7246

Other practice location 1

7144 Elk Mar Dr
Elkridge, MD 21075-1097
Phone (612) 840-3648

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R196400MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Pain Management Specialists, LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1535500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552953600000",
    "number": "1679055420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1576 MERRITT BLVD # 18",
            "city": "DUNDALK",
            "state": "MD",
            "postal_code": "212222132",
            "telephone_number": "443-693-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1576 MERRITT BLVD STE 18",
            "city": "DUNDALK",
            "state": "MD",
            "postal_code": "21222",
            "telephone_number": "410-571-2946"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7144 Elk Mar Dr",
            "address_purpose": "LOCATION",
            "city": "Elkridge",
            "state": "MD",
            "postal_code": "210751097",
            "country_code": "US",
            "telephone_number": "612-840-3648",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "MARIYA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-29",
        "last_updated": "2019-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R196400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dundalk, MD

Sources for this page

Verify at the official NPI Registry.