Individual provider Active NPI

Erin Glenn West, NP

  • Family Nurse Practitioner
  • Salisbury, MD
National Provider Identifier
1790917136
Registry record updated Sep 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R155993 Issued in MD
Practice address
300 W Carroll St
Salisbury, MD 21801-5305
Phone
(410) 543-6962
Fax
(410) 548-5151
NPI assigned
Aug 19, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R155993 MD Primary

Addresses

Primary practice location

300 W Carroll St
Salisbury, MD 21801-5305

Mailing address

108 E Main St
Salisbury, MD 21801-4921
Phone (410) 543-6962

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170201001569 MD Practitioner - Nurse Practitioner 0840573655 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wicomico County Health Department CurrentSince Dec 16, 2016 Accepting new patients
Wicomico County Health Department CurrentSince Dec 16, 2016 Accepting new patients

Locations

108 E Main St
Salisbury, MD 21801
Phone (410) 334-3497

300 W Carroll St
Salisbury, MD 21801
Phone (410) 534-6930

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1250640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410134400000",
    "number": "1790917136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 E MAIN ST",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218014921",
            "telephone_number": "410-543-6962",
            "fax_number": "410-548-5151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W CARROLL ST",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218015305",
            "telephone_number": "410-543-6962",
            "fax_number": "410-548-5151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEST",
        "first_name": "ERIN",
        "middle_name": "GLENN",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-19",
        "last_updated": "2014-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R155993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

Verify at the official NPI Registry.