Michelle Danielle Dennis, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

R205856 Issued in MD

Practice address

6340 Security Blvd Ste 100-B39
Baltimore, MD 21207-5173

Phone

(410) 907-0622

Fax

(667) 239-1001

NPI assigned

Feb 26, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Locations

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.

• Wellsprings Home Health Care LLC

  dba Wellsprings Home Therapy

  • Physical Medicine & Rehabilitation Physician
  • Mount Washington, MD
  • NPI 1366138018
  NPD Authorized official
• Wellsprings Home Health Care LLC

  • Home Health Registered Nurse
  • Baltimore, MD
  • NPI 1831744358
  NPD Authorized official

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

{
    "created_epoch": "1614297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728000000000",
    "number": "1811581085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6340 SECURITY BLVD STE 100-B39",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212075173",
            "telephone_number": "410-907-0622",
            "fax_number": "667-239-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6340 SECURITY BLVD STE 100-B39",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212075173",
            "telephone_number": "410-907-0622",
            "fax_number": "667-239-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENNIS",
        "first_name": "MICHELLE",
        "middle_name": "DANIELLE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-26",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R205856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NA",
            "identifier": "R205856",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N/A",
            "identifier": "R205856",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@wellspringshhc.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6340 Security Blvd Ste 100-B39",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212075173",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dennis Odie
• Abigail E Dennis, MD
• Alyssa Dennis
• Dahjea Dennis
• Joshua Dennis, PHARMD
• Phillip Dennis, M.D., PH.D.
• Sharon Annette Dennis, R.N.
• Tionna Dennis
• Stephanie L Dennison, DDS
• Julia Marie Denniss, MD

• Registered Nurse in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Registered Nurse in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2024; 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.