Individual provider Active NPI

Ashley Palumbo, CPNP

  • Pediatric Nurse Practitioner
  • Columbia, MD
National Provider Identifier
1851631832
Registry record updated Feb 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
R164976 Issued in MD
Practice address
6100 Dobbin Rd
Columbia, MD 21045-5804
Phone
(443) 492-4000
NPI assigned
Feb 27, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X R164976 MD Primary

Addresses

Primary practice location

6100 Dobbin Rd
Columbia, MD 21045-5804

Mailing address

6100 Dobbin Rd
Columbia, MD 21045-5804
Phone (443) 492-4000

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
I20191105000125 MD Practitioner - Nurse Practitioner 6709118169 Reassigns benefits to 2 organizations
I20240104002419 DC Practitioner - Nurse Practitioner 6709118169 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R164976MDMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MNR Industries, LLC CurrentSince Jan 1, 2024 Accepting new patients
MNR Industries, LLC CurrentSince Jan 1, 2024 Accepting new patients
MNR Industries, LLC Current Accepting new patients
MNR Industries LLC Current Accepting new patients
Medstar Medical Group II LLC CurrentSince Oct 1, 2021 Accepting new patients
Medstar Medical Group II LLC CurrentSince Oct 1, 2021 Accepting new patients
MNR Industries, LLC CurrentSince Jan 1, 2024 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

3001 S Hanover St
Ste 108
Baltimore, MD 21225
Phone (410) 350-3227

1505 E Churchville Rd
#A
Bel Air, MD 21014
Phone (410) 420-6970

1505 E Churchville Rd
Bel Air, MD 21014
Phone (410) 420-6970

6000 Laurel Bowie Rd
Bowie, MD 20715
Phone (301) 383-0330

3001 S Hanover St
Brooklyn Park, MD 21225
Phone (410) 350-3200

1406 Crain Hwy S
Glen Burnie, MD 21061
Phone (410) 768-6440

504 E Ridgeville Blvd
#A
Mount Airy, MD 21771
Phone (301) 703-5452

Organizations & group practices 8

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": "1361923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361923200000",
    "number": "1851631832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 DOBBIN RD",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210455804",
            "telephone_number": "443-492-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 DOBBIN RD",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210455804",
            "telephone_number": "443-492-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALUMBO",
        "first_name": "ASHLEY",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-27",
        "last_updated": "2013-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MD",
            "license": "R164976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.