Hall Diabetes Management and Resource Center PC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

Legal business name

HALL DIABETES MANAGEMENT AND RESOURCE CENTER PC

Practice address

1900 E Northern Pkwy Ste T1
Baltimore, MD 21239-2120

Phone

(443) 676-5422

NPI assigned

Jun 12, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Erica Hall, ANP-BC

Title

Owner/Nurse Practitioner

Phone

(443) 676-5422

Specialties & licenses 1

Addresses

Other names 1

• Hall Diabetes Management and Resource Center PC Doing business as

Locations

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

{
    "created_epoch": "1591920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595462400000",
    "number": "1790300903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 E NORTHERN PKWY STE T1",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212392120",
            "telephone_number": "443-676-5422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 E NORTHERN PKWY STE T1",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212392120",
            "telephone_number": "443-676-5422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALL DIABETES MANAGEMENT AND RESOURCE CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-12",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "OWNER/NURSE PRACTITIONER",
        "authorized_official_telephone_number": "443-676-5422",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ANP-BC"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hall Diabetes Management and Resource Center PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emily Robinson Haley, PA-C
• Lauren Haley
• Breauna Halford, RN
• Louis S Halikman, MD
• Patrick Seaton Halks, CRNA
• Jordan Hall-Conley
• Rebekah Hall-Provost, LCSW-C
• Trashana Hall-White, LMSW
• Andrea Renata Hall, ADT
• Anna Lee Hall

• Adult Health Nurse Practitioner in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Adult Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.