Active NPI
Lianna Maria Stockeland, RN, CNP
- Family Nurse Practitioner
- Bowie, MD
National Provider Identifier
1861705394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R217312
- Practice address
- 4201 Mitchellville Rd Ste 102
Bowie, MD 20716-3175 - Phone
- (301) 262-5900
- NPI assigned
- Jul 26, 2010
- Last updated
- May 15, 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 | R217312 | MD | Primary |
Addresses
Primary practice location
4201 Mitchellville Rd Ste 102
Bowie, MD 20716-3175
Mailing address
7580 Buckingham Blvd Ste 220
Hanover, MD 21076-3210
Phone (410) 729-5100
Other practice location 1
24 Magothy Beach Rd Ste A
Pasadena, MD 21122
Phone (410) 255-2700
Other names 1
- Lianna Maria Walburg
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R217312 | MD | MD | Family Nurse Practitioner |
Organizations & group practices 1
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": "1280102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715731200000",
"number": "1861705394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7580 BUCKINGHAM BLVD STE 220",
"city": "HANOVER",
"state": "MD",
"postal_code": "210763210",
"telephone_number": "410-729-5100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4201 MITCHELLVILLE RD STE 102",
"city": "BOWIE",
"state": "MD",
"postal_code": "207163175",
"telephone_number": "301-262-5900"
}
],
"practiceLocations": [
{
"address_1": "24 Magothy Beach Rd Ste A",
"address_purpose": "LOCATION",
"city": "Pasadena",
"state": "MD",
"postal_code": "21122",
"country_code": "US",
"telephone_number": "410-255-2700",
"fax_number": "410-437-1962",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STOCKELAND",
"first_name": "LIANNA",
"middle_name": "MARIA",
"credential": "RN, CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-26",
"last_updated": "2024-05-15",
"certification_date": "2024-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "R217312",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LIANNA",
"last_name": "WALBURG",
"middle_name": "MARIA",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Bowie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.