Active NPI
Jennifer Mellody Dukes, CRNP
- Nurse Practitioner
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- R132156
- Practice address
- 838 N Eutaw St
Baltimore, MD 21201-4624 - Phone
- (410) 523-1414
- NPI assigned
- Dec 5, 2011
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R132156 | MD | Primary |
Addresses
Primary practice location
838 N Eutaw St
Baltimore, MD 21201-4624
Mailing address
838 N Eutaw St
Baltimore, MD 21201-4624
Phone (410) 523-1414
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Maryland Pediatric Associates, PA | Current | Accepting new patients | |
| University of Maryland Pediatrics Assoc PA | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
827 Linden Ave
Fl 2
Baltimore, MD 21201
Phone (443) 682-6800
22 S Greene St
#S6
Baltimore, MD 21201
Phone (667) 214-1916
22 S Greene St
#N5W40
Baltimore, MD 21201
Phone (410) 328-6749
22 S Greene St
Fl 5
Baltimore, MD 21201
Phone (410) 328-5887
627 Race St
Cambridge, MD 21613
Phone (410) 228-3223
12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255
350 Montevue Ln
Frederick, MD 21702
Phone (301) 600-3102
7556 Teague Rd
Ste 420
Hanover, MD 21076
Phone (410) 328-6749
1639 Woodbrooke Dr
Salisbury, MD 21804
Phone (410) 543-7475
Organizations & group practices 3
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.
-
- Pediatrics Physician
- Baltimore, MD
- NPI 1528163912
-
- Clinical Medical Laboratory
- Baltimore, MD
- NPI 1003911413
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323043200000",
"number": "1841568904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "838 N EUTAW ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212014624",
"telephone_number": "410-523-1414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "838 N EUTAW ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212014624",
"telephone_number": "410-523-1414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUKES",
"first_name": "JENNIFER",
"middle_name": "MELLODY",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-12-05",
"last_updated": "2011-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MD",
"license": "R132156",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.