Active NPI
Mary Kay Conover-Walker, C.R.N.P.
- Nurse Practitioner
- Hunt Valley, MD
National Provider Identifier
1780630228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- R062679
- Practice address
- 250 Shilling Circle
Health Center
Hunt Valley, MD 21120 - Phone
- (410) 773-6550
- Fax
- (410) 773-6201
- NPI assigned
- May 26, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R062679 | MD | Primary |
Addresses
Primary practice location
250 Shilling Circle
Health Center
Hunt Valley, MD 21120
Mailing address
PO Box 64316
Baltimore, MD 21264-4316
Other practice location 1
7 Loveton Cir # MS 862
Sparks, MD 21152-9212
Phone (410) 316-4040
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 407469600 | Medicaid | MD |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R062679 | MD | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553817600000",
"number": "1780630228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 64316",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212644316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 SHILLING CIRCLE",
"address_2": "HEALTH CENTER",
"city": "HUNT VALLEY",
"state": "MD",
"postal_code": "21120",
"telephone_number": "410-773-6550",
"fax_number": "410-773-6201"
}
],
"practiceLocations": [
{
"address_1": "7 Loveton Cir # MS 862",
"address_purpose": "LOCATION",
"city": "Sparks",
"state": "MD",
"postal_code": "211529212",
"country_code": "US",
"telephone_number": "410-316-4040",
"fax_number": "410-316-4979",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CONOVER-WALKER",
"first_name": "MARY",
"middle_name": "KAY",
"credential": "C.R.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-26",
"last_updated": "2019-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MD",
"license": "R062679",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "407469600",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hunt Valley, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.