Aliesha Nicole Mann, CRNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

R215651 Issued in MD

Practice address

1600 Crain Hwy S Ste 401
Glen Burnie, MD 21061

Phone

(410) 768-5050

Fax

(410) 768-7830

NPI assigned

Jul 9, 2018

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: 32amann@cfaortho.emadirect.md

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

{
    "created_epoch": "1531094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592092800000",
    "number": "1780170191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 CRAIN HWY S STE 401",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210616413",
            "telephone_number": "410-768-5050",
            "fax_number": "410-768-7830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 CRAIN HWY S STE 401",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "21061",
            "telephone_number": "410-768-5050",
            "fax_number": "410-768-7830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANN",
        "first_name": "ALIESHA",
        "middle_name": "NICOLE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-09",
        "last_updated": "2020-06-14",
        "certification_date": "2020-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R215651",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R215651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aliesha.mann.1@6309.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "1600 Crain Hwy S Ste 401",
            "city": "Glen Burnie",
            "state": "MD",
            "country_code": "US",
            "postal_code": "21061",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Domonique Malloy, LCPC
• Elizabeth Malott, OTR/L
• Jean Marie Malsack, MS ACNP-BC
• Alif Manejwala, MD
• Jennifer Ann Mangold, R.N.
• Arif Mannan, M.D.
• Himabindu Manneri, M.D
• Lauren Michelle Maragh, MD
• Marcella Ellis LLC
• Marcellus R Cephas MD LLC

• Nurse Practitioner in Glen Burnie, MD
• Providers in Glen Burnie, MD by specialty
• Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2020; 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.