Individual provider Active NPI

Maryellen C. Stahley-Brown, N.P.

  • Nurse Practitioner
  • Columbia, MD
National Provider Identifier
1801913199
Registry record updated Jun 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R076058 Issued in MD
Practice address
5755 Cedar Lane
Howard County General Hospital, Occupational Health Dep
Columbia, MD 21044
Phone
(410) 740-7838
Fax
(410) 740-7685
NPI assigned
Mar 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R076058 MD Primary

Addresses

Primary practice location

5755 Cedar Lane
Howard County General Hospital, Occupational Health Dep
Columbia, MD 21044

Mailing address

5755 Cedar Lane
Howard County General Hospital, Occupational Health Dep
Columbia, MD 21044
Phone (410) 740-7838

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)
Enrolled
Credentials
Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: mstahleybrown54908@direct.hopkinsmedicine.org

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402617600000",
    "number": "1801913199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5755 CEDAR LANE",
            "address_2": "HOWARD COUNTY GENERAL HOSPITAL, OCCUPATIONAL HEALTH DEP",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "21044",
            "telephone_number": "410-740-7838",
            "fax_number": "410-740-7685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5755 CEDAR LANE",
            "address_2": "HOWARD COUNTY GENERAL HOSPITAL, OCCUPATIONAL HEALTH DEP",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "21044",
            "telephone_number": "410-740-7838",
            "fax_number": "410-740-7685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAHLEY-BROWN",
        "first_name": "MARYELLEN",
        "middle_name": "C.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2014-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R076058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2014; 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.