Individual provider Active NPI

Wendy Clare Marvel-Williams, M.S CRNP

  • Adult Health Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1902066830
Registry record updated Oct 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
R113807 Issued in MD
Practice address
8720 Emge Rd
Baltimore, MD 21234-3504
Phone
(410) 668-1961
NPI assigned
Jun 13, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2008

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 R113807 MD Primary

Addresses

Primary practice location

8720 Emge Rd
Baltimore, MD 21234-3504

Mailing address

26 Glenbrook Dr
Phoenix, MD 21131-2031
Phone (410) 667-4123

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
Credentials
Certified Registered Nurse, Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R113807MDMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University Care LLC Past Accepting new patients
University Care Past Accepting new patients

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": "1213315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225324800000",
    "number": "1902066830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 GLENBROOK DR",
            "city": "PHOENIX",
            "state": "MD",
            "postal_code": "211312031",
            "telephone_number": "410-667-4123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8720 EMGE RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212343504",
            "telephone_number": "410-668-1961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARVEL-WILLIAMS",
        "first_name": "WENDY",
        "middle_name": "CLARE",
        "name_prefix": "Ms.",
        "credential": "M.S CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-13",
        "last_updated": "2008-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MD",
            "license": "R113807",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 30, 2008; 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.