Individual provider Active NPI

Corinthia Harrell

  • Family Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1851113104
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R174662 Issued in MD
Practice address
2605 Banister Rd
Baltimore, MD 21215-6505
Phone
(410) 493-8819
NPI assigned
Oct 28, 2024
Last updated
Oct 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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 R174662 MD Primary

Addresses

Primary practice location

2605 Banister Rd
Baltimore, MD 21215-6505

Mailing address

6030 Marshalee Dr # 123
Elkridge, MD 21075-5987

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250224001720 MD Practitioner - Nurse Practitioner 9436679206 Reassigns benefits to 1 organization
I20250224001820 DC Practitioner - Nurse Practitioner 9436679206 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CRH MD Management LLCGroup PAC ID 2466841028, 70 clinicians

Practice addresses (Care Compare)

10845 Town Ctr Blvd
Suite 108
Dunkirk, MD 20754-2712
Phone (410) 650-4346

11804 Reisterstown Rd
Reisterstown, MD 21136-3311
Phone (410) 870-5094

14090 HG Trueman Rd
Suite 1300
Solomons, MD 20688-3151
Phone (410) 394-2800

8825 Woodyard Rd
Suite 100
Clinton, MD 20735-2754
Phone (240) 746-1330

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R174662MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
CRH MD Management LLC CurrentSince Feb 12, 2025 Accepting new patients
CRH MD Management LLC CurrentSince Dec 14, 2024 Accepting new patients
CRH MD Management, LLC CurrentSince Dec 14, 2024 Accepting new patients

Locations

590 Lanier Ave W
Fayetteville, GA 30214

8825 Woodyard Rd
Ste 100
Clinton, MD 20735
Phone (240) 746-1330

14421 Baltimore Ave
Laurel, MD 20707
Phone (240) 786-6684

11804 Reisterstown Rd
Reisterstown, MD 21136
Phone (410) 870-5094

14090 Hg Trueman Rd
Ste 1300
Solomons, MD 20688
Phone (410) 394-2800

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1730073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1851113104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6030 MARSHALEE DR # 123",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210755987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 BANISTER RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212156505",
            "telephone_number": "410-493-8819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRELL",
        "first_name": "CORINTHIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-28",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R174662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.