Active NPI
Anita L Massengale, RN, BA, JD
- Registered Nurse
- Laurel, MD
National Provider Identifier
1881349199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- R104904
- Practice address
- 6920 Ironbridge LN
Laurel, MD 20707-9486 - Phone
- (301) 717-5473
- NPI assigned
- Feb 15, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R104904 | MD | Primary |
Addresses
Primary practice location
6920 Ironbridge LN
Laurel, MD 20707-9486
Mailing address
6920 Ironbridge LN
Laurel, MD 20707-9486
Phone (301) 717-5473
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | veganqueencuisine |
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
- Credentials
- Bachelor of Arts, Juris Doctor, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R104904 | MD | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644883200000",
"number": "1881349199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6920 IRONBRIDGE LN",
"city": "LAUREL",
"state": "MD",
"postal_code": "207079486",
"telephone_number": "301-717-5473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6920 IRONBRIDGE LN",
"city": "LAUREL",
"state": "MD",
"postal_code": "207079486",
"telephone_number": "301-717-5473"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASSENGALE",
"first_name": "ANITA",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "RN, BA, JD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-02-15",
"last_updated": "2022-02-15",
"certification_date": "2022-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MD",
"license": "R104904",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "veganqueencuisine",
"affiliation": "N",
"endpointDescription": "Health Wellness",
"address_1": "6920 Ironbridge Ln",
"city": "Laurel",
"state": "MD",
"country_code": "US",
"postal_code": "207079486",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Laurel, MD
- Maryland Sportscare & Rehab LLC
- Maryland Treatment Centers, Inc.
- Noella Masalla
- Akbar Masood, DDS
- Fatima Massaquoi, LMSW
- Marie-Josee O Massing, PHARMD
- Matclinic Physicians Practice Group LLC
- Matclinic Physicians Practice Group LLC
- Matclinic Physicians Practice Group LLC
- Matclinic Physicians Practice Group LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.