Active NPI
Natalie Jean Gaines, RN
- Community Health Registered Nurse
- Randallstown, MD
National Provider Identifier
1740405398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Registered Nurse
- License
- R104020
- Practice address
- 3525 Resource Dr
Randallstown, MD 21133-4733 - Phone
- (410) 887-0646
- Fax
- (410) 496-9398
- NPI assigned
- Apr 16, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | R104020 | MD | Primary |
Addresses
Primary practice location
3525 Resource Dr
Randallstown, MD 21133-4733
Mailing address
859 Mayfair Way
Eldersburg, MD 21784-6124
Phone (410) 549-2116
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R104020 | MD | MD | Community Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1740405398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "859 MAYFAIR WAY",
"city": "ELDERSBURG",
"state": "MD",
"postal_code": "217846124",
"telephone_number": "410-549-2116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3525 RESOURCE DR",
"city": "RANDALLSTOWN",
"state": "MD",
"postal_code": "211334733",
"telephone_number": "410-887-0646",
"fax_number": "410-496-9398"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAINES",
"first_name": "NATALIE",
"middle_name": "JEAN",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "MD",
"license": "R104020",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Randallstown, MD
- Debra Freeman, M.D.
- Fresenius Medical Care Randallstown, LLC (Fresenius Medical Care Patapsco Valley)
- Steven D Fuller, PHD DO
- Future Care Old Court, Inc. (FutureCare Old Court)
- Future Care Old Court, Inc. (FutureCare Old Court)
- Tim Gallion
- Nishith Vadilal Gandhi, PHARMACIST
- Antoinette Cavira Garrett, HEALTH COACH
- Gateway Nursing Services (Gateway Support Services)
- Ramona Gelzer Bell, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.