Individual provider Active NPI

Karen Deborah McFaul-Glover, CRNP

  • Adult Health Nurse Practitioner
  • Forest Hill, MD
National Provider Identifier
1891132460
Registry record updated May 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
R086448 Issued in MD
Practice address
2 Colgate Dr
Suite 103
Forest Hill, MD 21050-2624
Phone
(888) 340-1813
NPI assigned
May 23, 2013
Last updated
May 23, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X R086448 MD Primary

Addresses

Primary practice location

2 Colgate Dr
Suite 103
Forest Hill, MD 21050-2624

Mailing address

2 Colgate Dr
Suite 103
Forest Hill, MD 21050-2624
Phone (888) 340-1813

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20130913000504 MD Practitioner - Nurse Practitioner 1456595412 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R086448MDMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Upper Chesapeake Primary Care,LLC CurrentSince Aug 1, 2018 Accepting new patients

Locations

2 Colgate Dr
Ste 103
Forest Hill, MD 21050
Phone (410) 420-0161

2027 Pulaski Hwy
Ste 203
Hvre de Grace, MD 21078
Phone (410) 658-4099

Interoperability endpoints

  • Direct secure messaging: karen.mcfaul-glover.1@16965.direct.athenahealth.com

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": "1369267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369267200000",
    "number": "1891132460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 COLGATE DR",
            "address_2": "SUITE 103",
            "city": "FOREST HILL",
            "state": "MD",
            "postal_code": "210502624",
            "telephone_number": "888-340-1813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 COLGATE DR",
            "address_2": "SUITE 103",
            "city": "FOREST HILL",
            "state": "MD",
            "postal_code": "210502624",
            "telephone_number": "888-340-1813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCFAUL-GLOVER",
        "first_name": "KAREN",
        "middle_name": "DEBORAH",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-23",
        "last_updated": "2013-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MD",
            "license": "R086448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hill, MD

Sources for this page

Verify at the official NPI Registry.