Active NPI
Lydia Cornell Redding, PA-C
- Physician Assistant
- Towson, MD
National Provider Identifier
1902179377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- C0001515
- Practice address
- 7600 Osler Dr
202
Towson, MD 21204-7735 - Phone
- (410) 821-7188
- Fax
- (410) 821-7185
- NPI assigned
- Feb 16, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | C0001515 | MD | Primary |
Addresses
Primary practice location
7600 Osler Dr
202
Towson, MD 21204-7735
Mailing address
1500 Boyce Ave
Towson, MD 21204-6514
Phone (410) 825-5821
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C0001515 | MD | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329350400000",
"number": "1902179377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 BOYCE AVE",
"city": "TOWSON",
"state": "MD",
"postal_code": "212046514",
"telephone_number": "410-825-5821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7600 OSLER DR",
"address_2": "202",
"city": "TOWSON",
"state": "MD",
"postal_code": "212047735",
"telephone_number": "410-821-7188",
"fax_number": "410-821-7185"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REDDING",
"first_name": "LYDIA",
"middle_name": "CORNELL",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-16",
"last_updated": "2012-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MD",
"license": "C0001515",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Towson, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.