Active NPI
Corinthia Harrell
- Family Nurse Practitioner
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R174662
- Practice address
- 2605 Banister Rd
Baltimore, MD 21215-6505 - Phone
- (410) 493-8819
- NPI assigned
- Oct 28, 2024
- Last updated
- Oct 28, 2024
- 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 |
|---|---|---|---|---|
| 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, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| R174662 | MD | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CRH MD Management LLC | Current | Accepting new patients | |
| CRH MD Management LLC | Current | Accepting new patients | |
| CRH MD Management, LLC | Current | 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.
-
dba Patriot Urgent Care
- Urgent Care Clinic/Center
- Reisterstown, MD
- NPI 1598435059
DC
-
dba Patriot Urgent Care
- Urgent Care Clinic/Center
- Fort Washington, MD
- NPI 1841072477
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.