Individual provider Active NPI

Jennifer Taggart, LPN

  • Licensed Practical Nurse
  • Lutherville Timonium, MD
National Provider Identifier
1679220172
Registry record updated Mar 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
LP41999 Issued in MD
Practice address
15 W Aylesbury Rd Ste 600
Lutherville Timonium, MD 21093-4168
Phone
(410) 575-1200
Fax
(855) 715-2506
NPI assigned
Mar 4, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X LP41999 MD Primary

Addresses

Primary practice location

15 W Aylesbury Rd Ste 600
Lutherville Timonium, MD 21093-4168

Mailing address

15 W Aylesbury Rd Ste 600
Lutherville Timonium, MD 21093-4168
Phone (800) 359-9400

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jennifer@lifemedinstitute.com Direct

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

State licenses

LicenseStateTypeSpecialty
LP41999MDMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1646352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646352000000",
    "number": "1679220172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 W AYLESBURY RD STE 600",
            "city": "LUTHERVILLE TIMONIUM",
            "state": "MD",
            "postal_code": "210934168",
            "telephone_number": "800-359-9400",
            "fax_number": "855-715-2506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 W AYLESBURY RD STE 600",
            "city": "LUTHERVILLE TIMONIUM",
            "state": "MD",
            "postal_code": "210934168",
            "telephone_number": "410-575-1200",
            "fax_number": "855-715-2506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAGGART",
        "first_name": "JENNIFER",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-04",
        "last_updated": "2022-03-04",
        "certification_date": "2022-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MD",
            "license": "LP41999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jennifer@lifemedinstitute.com",
            "affiliation": "N",
            "endpointDescription": "Server Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "15 W Aylesbury Rd Ste 600",
            "city": "Lutherville Timonium",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210934168",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lutherville Timonium, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.