Egla Fynn

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

2046 Walden CT
Bryans Road, MD 20616-6016

Phone

(732) 763-0938

NPI assigned

Nov 2, 2015

Last updated

Dec 28, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1446422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1760855514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7767 RIVERDALE RD",
            "address_2": "APT 303",
            "city": "NEW CARROLLTON",
            "state": "MD",
            "postal_code": "207843929",
            "telephone_number": "732-763-0938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2046 WALDEN CT",
            "city": "BRYANS ROAD",
            "state": "MD",
            "postal_code": "206166016",
            "telephone_number": "732-763-0938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FYNN",
        "first_name": "EGLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-02",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "DC",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryonna Douglas, PMHNP-BC
• El Roi Psychiatry and Wellness
• Desire Fadion
• Family Medcare, LLC
• Footprints, LLC
• Sergio O Giles, LSA, CSA, CSFA
• Briana Glasgow
• Greater Baden Medical Service Incorporated
• Brenda Harris
• Denessa Hicks, CD

• Case Manager/Care Coordinator in Bryans Road, MD
• Providers in Bryans Road, MD by specialty
• Case Manager/Care Coordinator in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; 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.