NPIMap

Organization Active NPI

Arundel Green Healthcare, Inc

  • Primary Care Nurse Practitioner
  • Columbia, MD
National Provider Identifier
1821674789
Registry record updated Jul 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
ARUNDEL GREEN HEALTHCARE, INC
Practice address
8860 Columbia 100 Pkwy Ste 210
Columbia, MD 21045-2383
Phone
(301) 957-0372
Fax
(855) 719-2492
NPI assigned
Mar 22, 2021
Last updated
Jul 19, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2021

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

Authorized official

Name
Mrs. Linda Dennis, CRNPNPI 1437674850
Title
President /Owner
Phone
(301) 957-0372

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP2300X Primary

Addresses

Primary practice location

8860 Columbia 100 Pkwy Ste 210
Columbia, MD 21045-2383

Mailing address

8860 Columbia 100 Pkwy Ste 210
Columbia, MD 21045-2383
Phone (301) 957-0372

Other identifiers 1

IdentifierTypeStateIssuer
R199109OtherMDCRNP

National Provider Directory

National Provider Directory

Locations

672 Old Mill Rd
#119
Millersville, MD 21108
Phone (301) 957-0372

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23603/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1616371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626652800000",
    "number": "1821674789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8860 COLUMBIA 100 PKWY STE 210",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210452383",
            "telephone_number": "301-957-0372",
            "fax_number": "855-719-2492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8860 COLUMBIA 100 PKWY STE 210",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210452383",
            "telephone_number": "301-957-0372",
            "fax_number": "855-719-2492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARUNDEL GREEN HEALTHCARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-22",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A",
        "authorized_official_last_name": "DENNIS",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "PRESIDENT /OWNER",
        "authorized_official_telephone_number": "301-957-0372",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRNP",
            "identifier": "R199109",
            "state": "MD"
        }
    ],
    "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 Jul 19, 2021; 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.