Individual provider Active NPI

Beth Carol Diehl Svrjcek, CRNP

  • Critical Care Neonatal Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1720125255
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Neonatal Nurse PractitionerTaxonomy code 363LN0005X
License
R074019 Issued in MD
Practice address
600 N Wolfe St
Neonatal Intensive Care Unit
Baltimore, MD 21287-0005
Phone
(410) 955-5255
Fax
(410) 614-8834
NPI assigned
Feb 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Neonatal Nurse Practitioner 363LN0005X R074019 MD Primary

Addresses

Primary practice location

600 N Wolfe St
Neonatal Intensive Care Unit
Baltimore, MD 21287-0005

Mailing address

22 Tigreff CT
Parkville, MD 21234-1444
Phone (410) 663-4592

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R074019MDMDCritical Care Neonatal Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: bdiehlsvrjcek183159@direct.hopkinsmedicine.org

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720125255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 TIGREFF CT",
            "city": "PARKVILLE",
            "state": "MD",
            "postal_code": "212341444",
            "telephone_number": "410-663-4592",
            "fax_number": "410-663-4031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N WOLFE ST",
            "address_2": "NEONATAL INTENSIVE CARE UNIT",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212870005",
            "telephone_number": "410-955-5255",
            "fax_number": "410-614-8834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIEHL SVRJCEK",
        "first_name": "BETH",
        "middle_name": "CAROL",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0005X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal, Critical Care",
            "state": "MD",
            "license": "R074019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.