Active NPI
Nicole Angela Harding, COS
- Prosthetist
- Glen Burnie, MD
National Provider Identifier
1699404301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetist
- License
- 435139
- Practice address
- 328 Highland Dr Apt 104
Glen Burnie, MD 21061-6099 - Phone
- (443) 679-7879
- NPI assigned
- Jun 8, 2022
- Last updated
- Jun 8, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Prosthetist | 224P00000X | 435139 | Primary |
Addresses
Primary practice location
328 Highland Dr Apt 104
Glen Burnie, MD 21061-6099
Mailing address
1404 S. Main Chapel Way
Ste. 104 #687
Gambrills, MD 21054
Phone (443) 679-7879
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654646400000",
"number": "1699404301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1404 S. MAIN CHAPEL WAY",
"address_2": "STE. 104 #687",
"city": "GAMBRILLS",
"state": "MD",
"postal_code": "21054",
"telephone_number": "443-679-7879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "328 HIGHLAND DR APT 104",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210616099",
"telephone_number": "443-679-7879"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARDING",
"first_name": "NICOLE",
"middle_name": "ANGELA",
"credential": "COS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-08",
"last_updated": "2022-06-08",
"certification_date": "2022-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": null,
"license": "435139",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glen Burnie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.