Individual provider Active NPI

Cindi Marie Beanland, CRNP

  • Family Nurse Practitioner
  • Essex, MD
National Provider Identifier
1841908647
Registry record updated Nov 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R196258 Issued in MD
Practice address
1124 Mace Ave
Essex, MD 21221-3315
Phone
(410) 391-6996
NPI assigned
Nov 10, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R196258 MD Primary

Addresses

Primary practice location

1124 Mace Ave
Essex, MD 21221-3315

Mailing address

1124 Mace Ave
Essex, MD 21221-3315
Phone (443) 391-6996

Other practice location 1

6730 Holabird Ave
Dundalk, MD 21222-1700
Phone (410) 288-6226

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230206001395 MD Practitioner - Nurse Practitioner 0840662516 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sciometrix Inc CurrentSince Jul 15, 2024 Accepting new patients
Mace Medical LLC CurrentSince Jan 3, 2023 Accepting new patients
Sciometrix LLC PastSince Oct 10, 2021 Accepting new patients

Locations

2800 Sollers Point Rd
Dundalk, MD 21222
Phone (410) 391-6996

1124 Mace Ave
Essex, MD 21221
Phone (410) 391-6996

15005 Shady Grove Rd
Ste 240
Rockville, MD 20850
Phone (301) 217-0979

306 S Washington Ave
Ste 600
Royal Oak, MI 48067

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JHCFBA

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.

NPI Registry JSON

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

{
    "created_epoch": "1668038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668038400000",
    "number": "1841908647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1124 MACE AVE",
            "city": "ESSEX",
            "state": "MD",
            "postal_code": "212213315",
            "telephone_number": "443-391-6996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 MACE AVE",
            "city": "ESSEX",
            "state": "MD",
            "postal_code": "212213315",
            "telephone_number": "410-391-6996"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6730 Holabird Ave",
            "address_purpose": "LOCATION",
            "city": "Dundalk",
            "state": "MD",
            "postal_code": "212221700",
            "country_code": "US",
            "telephone_number": "410-288-6226",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEANLAND",
        "first_name": "CINDI",
        "middle_name": "MARIE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-10",
        "last_updated": "2022-11-10",
        "certification_date": "2022-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R196258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Essex, MD

Sources for this page

Verify at the official NPI Registry.