Individual provider Active NPI

Deborah Pensiero, CRNP

  • Family Nurse Practitioner
  • Rockville, MD
National Provider Identifier
1871822601
Registry record updated Dec 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R113634 Issued in MD
Practice address
751 Twinbrook Pkwy
Rockville, MD 20851-1400
Phone
(240) 777-3325
Fax
(240) 777-3304
NPI assigned
Dec 7, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2009

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 R113634 MD Primary

Addresses

Primary practice location

751 Twinbrook Pkwy
Rockville, MD 20851-1400

Mailing address

2303 Oak Dr
Ijamsville, MD 21754-8641

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
R113634MDMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: deborah.pensiero.p3@direct.mcg-hhs.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1260144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260144000000",
    "number": "1871822601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2303 OAK DR",
            "city": "IJAMSVILLE",
            "state": "MD",
            "postal_code": "217548641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 TWINBROOK PKWY",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208511400",
            "telephone_number": "240-777-3325",
            "fax_number": "240-777-3304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENSIERO",
        "first_name": "DEBORAH",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-07",
        "last_updated": "2009-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R113634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.