Individual provider Active NPI

Theresa J Gagen-Hursey, RNPNP

  • Pediatrics Physician
  • Lutherville, MD
National Provider Identifier
1801068002
Registry record updated Oct 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
N51181 Issued in MD
Practice address
10807 Falls Rd
Suite 200
Lutherville, MD 21093-4591
Phone
(410) 321-9393
Fax
(410) 825-4945
NPI assigned
Mar 27, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X N51181 MD Primary

Addresses

Primary practice location

10807 Falls Rd
Suite 200
Lutherville, MD 21093-4591

Mailing address

10807 Falls Rd
Suite 200
Lutherville, MD 21093-4591
Phone (410) 321-9393

Other identifiers 1

IdentifierTypeStateIssuer
LL96MAOtherMDBLUE SHIELD OF MD

Other names 1

  • Ms. Terri Hursey Other name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
N51181MDMDPediatrics Physician

Interoperability endpoints

  • Direct secure messaging: tgagenhursey137282@direct.hopkinsmedicine.org

NPI Registry JSON

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

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285891200000",
    "number": "1801068002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10807 FALLS RD",
            "address_2": "SUITE 200",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210934591",
            "telephone_number": "410-321-9393",
            "fax_number": "410-825-4945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10807 FALLS RD",
            "address_2": "SUITE 200",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210934591",
            "telephone_number": "410-321-9393",
            "fax_number": "410-825-4945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAGEN-HURSEY",
        "first_name": "THERESA",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "RNPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-27",
        "last_updated": "2010-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "N51181",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF MD",
            "identifier": "LL96MA",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERRI",
            "last_name": "HURSEY",
            "prefix": "MS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lutherville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2010; 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.