Active NPI
Theresa J Gagen-Hursey, RNPNP
- Pediatrics Physician
- Lutherville, MD
National Provider Identifier
1801068002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- N51181
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LL96MA | Other | MD | BLUE SHIELD OF MD |
Other names 1
- Ms. Terri Hursey
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
| License | State | Type | Specialty |
|---|---|---|---|
| N51181 | MD | MD | Pediatrics Physician |
Interoperability endpoints
- 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.