Individual provider Active NPI

Andrew Cole, CRNP-PMH

  • Psychiatric/Mental Health Nurse Practitioner
  • Eldersburg, MD
National Provider Identifier
1891294682
Registry record updated Mar 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R208452 Issued in MD
Practice address
1643 Liberty Rd Ste 105
Eldersburg, MD 21784-6545
Phone
(443) 920-5333
Fax
(443) 920-5334
NPI assigned
Feb 7, 2018
Last updated
Mar 23, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R208452 MD Primary

Addresses

Primary practice location

1643 Liberty Rd Ste 105
Eldersburg, MD 21784-6545

Mailing address

1643 Liberty Rd Ste 105
Eldersburg, MD 21784-6545
Phone (443) 920-5333

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Acc Psychiatry LLC Psychiatric/Mental Health Current Accepting new patients

Locations

1643 Liberty Rd
Ste 105
Sykesville, MD 21784
Phone (443) 920-5333

511 Jermor Ln
Ste 105
Westminster, MD 21157
Phone (410) 215-6058

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": "1517961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584921600000",
    "number": "1891294682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1643 LIBERTY RD STE 105",
            "city": "ELDERSBURG",
            "state": "MD",
            "postal_code": "217846545",
            "telephone_number": "443-920-5333",
            "fax_number": "443-920-5334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1643 LIBERTY RD STE 105",
            "city": "ELDERSBURG",
            "state": "MD",
            "postal_code": "217846545",
            "telephone_number": "443-920-5333",
            "fax_number": "443-920-5334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "ANDREW",
        "credential": "CRNP-PMH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-07",
        "last_updated": "2020-03-23",
        "certification_date": "2020-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R208452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eldersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2020; 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.