Individual provider Active NPI

Julie T. Siefert, RN

  • School Registered Nurse
  • Edgewater, MD
National Provider Identifier
1760600084
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
R138166 Issued in MD
Practice address
201 Central Ave E
Edgewater, MD 21037-2802
Phone
(410) 956-5600
Fax
(410) 956-1757
NPI assigned
Apr 23, 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
School Registered Nurse 163WS0200X R138166 MD Primary

Addresses

Primary practice location

201 Central Ave E
Edgewater, MD 21037-2802

Mailing address

331 Lazywood CT
Millersville, MD 21108-2418
Phone (410) 729-4322

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

LicenseStateTypeSpecialty
R138166MDMDSchool Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760600084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 LAZYWOOD CT",
            "city": "MILLERSVILLE",
            "state": "MD",
            "postal_code": "211082418",
            "telephone_number": "410-729-4322",
            "fax_number": "410-956-1757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 CENTRAL AVE E",
            "city": "EDGEWATER",
            "state": "MD",
            "postal_code": "210372802",
            "telephone_number": "410-956-5600",
            "fax_number": "410-956-1757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEFERT",
        "first_name": "JULIE",
        "middle_name": "T.",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "MD",
            "license": "R138166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edgewater, MD

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.

Verify at the official NPI Registry.