NPIMap

Individual provider Active NPI

Nancy Joan Quigley, LMT

  • Other Specialist/Technologist
  • Clarksburg, MD
National Provider Identifier
1679907620
Registry record updated Aug 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Other Specialist/TechnologistTaxonomy code 246Z00000X
License
R01749 Issued in MD
Practice address
12151 Elm Forest CT
Unit M
Clarksburg, MD 20871-6306
Phone
(702) 575-0729
Fax
(301) 540-4615
NPI assigned
Aug 27, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Other Specialist/Technologist 246Z00000X R01749 MD Primary
Vascular Sonography Radiologic Technologist 2471V0105X R01749 MD

Addresses

Primary practice location

12151 Elm Forest CT
Unit M
Clarksburg, MD 20871-6306

Mailing address

12151 Elm Forest CT
Unit M
Clarksburg, MD 20871-6306
Phone (702) 575-0729

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
R01749MDMDVascular Sonography Radiologic Technologist

NPI Registry JSON

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

{
    "created_epoch": "1377561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377561600000",
    "number": "1679907620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12151 ELM FOREST CT",
            "address_2": "UNIT M",
            "city": "CLARKSBURG",
            "state": "MD",
            "postal_code": "208716306",
            "telephone_number": "702-575-0729",
            "fax_number": "301-540-4615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12151 ELM FOREST CT",
            "address_2": "UNIT M",
            "city": "CLARKSBURG",
            "state": "MD",
            "postal_code": "208716306",
            "telephone_number": "702-575-0729",
            "fax_number": "301-540-4615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUIGLEY",
        "first_name": "NANCY",
        "middle_name": "JOAN",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-27",
        "last_updated": "2013-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246Z00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other",
            "state": "MD",
            "license": "R01749",
            "primary": true
        },
        {
            "code": "2471V0105X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Vascular Sonography",
            "state": "MD",
            "license": "R01749",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2013; 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.