Active NPI
Maureen Anne Fitzpatrick, C.R.N.P.
- Nurse Practitioner
- Baltimore, MD
National Provider Identifier
1790728640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- R126860
- Practice address
- 3900 Loch Raven Blvd
Vamc - HBPC
Baltimore, MD 21218-2108 - Phone
- (410) 605-7620
- Fax
- (410) 605-7676
- NPI assigned
- Jun 14, 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 | R126860 | MD | Primary |
Addresses
Primary practice location
3900 Loch Raven Blvd
Vamc - HBPC
Baltimore, MD 21218-2108
Mailing address
3900 Loch Raven Blvd
Vamc - HBPC
Baltimore, MD 21218-2108
Phone (410) 605-7620
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 404180100 | Medicaid | MD | |
| H897I074 | Other | MD | PROVIDER NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R126860 | MD | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371427200000",
"number": "1790728640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3900 LOCH RAVEN BLVD",
"address_2": "VAMC - HBPC",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212182108",
"telephone_number": "410-605-7620",
"fax_number": "410-605-7676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3900 LOCH RAVEN BLVD",
"address_2": "VAMC - HBPC",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212182108",
"telephone_number": "410-605-7620",
"fax_number": "410-605-7676"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FITZPATRICK",
"first_name": "MAUREEN",
"middle_name": "ANNE",
"credential": "C.R.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-14",
"last_updated": "2013-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MD",
"license": "R126860",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "404180100",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER NUMBER",
"identifier": "H897I074",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.