Active NPI
Drake'S Mobile Health Services.LLC
- Primary Care Nurse Practitioner
- Baltimore, MD
National Provider Identifier
1891470142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- Legal business name
- DRAKE'S MOBILE HEALTH SERVICES.LLC
- Practice address
- 3700 Columbus Dr
Baltimore, MD 21215-6122 - Phone
- (410) 805-3781
- NPI assigned
- Jun 15, 2023
- Organization subpart
- Yes
- Parent organization
- DRAKE'S MOBILE HEALTH SERVICES.LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shakeisha Jarvis-Drake, NP
- Title
- Nurse Practitioner
- Phone
- (410) 805-3781
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | Primary |
Addresses
Primary practice location
3700 Columbus Dr
Baltimore, MD 21215-6122
Mailing address
3700 Columbus Dr
Baltimore, MD 21215-6122
Phone (410) 805-3781
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366800211 | Other | MD | NPPES |
National Provider Directory
National Provider Directory- Part of
- Drake'S Mobile Health Servicesllc
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Primary Care Nurse Practitioner
- Baltimore, MD
- NPI 1366800211
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686787200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1725840000000",
"number": "1891470142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3700 COLUMBUS DR",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212156122",
"telephone_number": "410-805-3781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3700 COLUMBUS DR",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212156122",
"telephone_number": "410-805-3781"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DRAKE'S MOBILE HEALTH SERVICES.LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "DRAKE'S MOBILE HEALTH SERVICES.LLC",
"enumeration_date": "2023-06-15",
"last_updated": "2024-09-09",
"certification_date": "2024-09-09",
"status": "A",
"authorized_official_last_name": "JARVIS-DRAKE",
"authorized_official_first_name": "SHAKEISHA",
"authorized_official_title_or_position": "NURSE PRACTITIONER",
"authorized_official_telephone_number": "410-805-3781",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPPES",
"identifier": "1366800211",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.