NPIMap

Organization Active NPI

Nasseri Clinic of Arthritic & Rheumatic Diseases LLC

  • Family Nurse Practitioner
  • Columbia, MD
National Provider Identifier
1700650199
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
NASSERI CLINIC OF ARTHRITIC & RHEUMATIC DISEASES LLC
Practice address
6100 Dobbin Rd Ste a
Columbia, MD 21045-5804
Phone
(410) 744-0661
Fax
(410) 744-8036
NPI assigned
Nov 7, 2023
Last updated
May 14, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
NASSERI CLINIC OF ARTHRITIC & RHEUMATIC DISEASESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 14, 2024

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

Authorized official

Name
Samantha Mihm
Title
Office Manager/Credentialing Spec
Phone
(410) 744-0661

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU Primary

Addresses

Primary practice location

6100 Dobbin Rd Ste a
Columbia, MD 21045-5804

Mailing address

700 Geipe Rd
Catonsville, MD 21228-4147
Phone (410) 744-0661

National Provider Directory

National Provider Directory
Tax ID family
Nasseri Clinic of Arthritic Rheumatic Diseases LLC4 organizations share this tax ID, including this one
Part of
Nasseri Clinic of Arthritic Rheumatic Diseases LLC

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6100 Dobbin Rd
Ste A
Columbia, MD 21045
Phone (443) 354-3772

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1699315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715644800000",
    "number": "1700650199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 GEIPE RD",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212284147",
            "telephone_number": "410-744-0661",
            "fax_number": "410-744-8036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 DOBBIN RD STE A",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210455804",
            "telephone_number": "410-744-0661",
            "fax_number": "410-744-8036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NASSERI CLINIC OF ARTHRITIC & RHEUMATIC DISEASES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NASSERI CLINIC OF ARTHRITIC & RHEUMATIC DISEASES",
        "enumeration_date": "2023-11-07",
        "last_updated": "2024-05-14",
        "certification_date": "2024-04-30",
        "status": "A",
        "authorized_official_last_name": "MIHM",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "OFFICE MANAGER/CREDENTIALING SPEC",
        "authorized_official_telephone_number": "410-744-0661"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; 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.