Individual provider Active NPI

Nicole Harriman, R.N., F.N.P.-B.C.

  • Family Nurse Practitioner
  • Frederick, MD
National Provider Identifier
1881987907
Registry record updated May 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R170744 Issued in MD
Practice address
45 Thomas Johnson Dr
Suite 209
Frederick, MD 21702-4425
Phone
(301) 662-6755
Fax
(301) 418-6218
NPI assigned
May 23, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2011

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 R170744 MD Primary

Addresses

Primary practice location

45 Thomas Johnson Dr
Suite 209
Frederick, MD 21702-4425

Mailing address

45 Thomas Johnson Dr
Suite 209
Frederick, MD 21702-4425
Phone (301) 662-6755

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20190910003909 VA Practitioner - Nurse Practitioner 1052589009 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Associates of Richmond PC CurrentSince Feb 24, 2020 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

201 Concourse Blvd
Ste 200
Glen Allen, VA 23059

6946 Forest Ave
Ste 200
Richmond, VA 23230
Phone (804) 285-2006

7201 Glen Forest Dr
Ste 100
Richmond, VA 23226

Organizations & group practices 2

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": "1306108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306108800000",
    "number": "1881987907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 THOMAS JOHNSON DR",
            "address_2": "SUITE 209",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024425",
            "telephone_number": "301-662-6755",
            "fax_number": "301-418-6218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 THOMAS JOHNSON DR",
            "address_2": "SUITE 209",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024425",
            "telephone_number": "301-662-6755",
            "fax_number": "301-418-6218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIMAN",
        "first_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "R.N., F.N.P.-B.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-23",
        "last_updated": "2011-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R170744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

Verify at the official NPI Registry.