Active NPI
Keith Norman
- Home Health Agency
- Baltimore, MD
National Provider Identifier
1710315544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 30AL3361-A
- Practice address
- 5012 Crosswood Ave
Baltimore, MD 21214-3001 - Phone
- (443) 850-1069
- NPI assigned
- Oct 14, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 30AL3361-A | MD | Primary |
Addresses
Primary practice location
5012 Crosswood Ave
Baltimore, MD 21214-3001
Mailing address
5012 Crosswood Ave
Baltimore, MD 21214-3001
Phone (443) 850-1069
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
| License | State | Type | Specialty |
|---|---|---|---|
| 30AL3361-A | MD | MD | Home Health Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1381708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1381708800000",
"number": "1710315544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5012 CROSSWOOD AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212143001",
"telephone_number": "443-850-1069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5012 CROSSWOOD AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212143001",
"telephone_number": "443-850-1069"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORMAN",
"first_name": "KEITH",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-10-14",
"last_updated": "2013-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "MD",
"license": "30AL3361-A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.