Jacquelyn Curreri Edens, RN

Primary specialty

Pediatric Registered NurseTaxonomy code 163WP0200X

License

R069315 Issued in MD

Practice address

3 E Lee St
Pediatrics at the Harbor
Baltimore, MD 21202-6000

Phone

(443) 682-6610

NPI assigned

Oct 20, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1319068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319068800000",
    "number": "1902181043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 E LEE ST",
            "address_2": "PEDIATRICS AT THE HARBOR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212026000",
            "telephone_number": "443-682-6610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 E LEE ST",
            "address_2": "PEDIATRICS AT THE HARBOR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212026000",
            "telephone_number": "443-682-6610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDENS",
        "first_name": "JACQUELYN",
        "middle_name": "CURRERI",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-20",
        "last_updated": "2011-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "MD",
            "license": "R069315",
            "primary": false
        },
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "MD",
            "license": "R069315",
            "primary": true
        },
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "MD",
            "license": "R069315",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Edelstein, PSY.D
• Eden Place Healing, LLC
• Elizabeth Eden, MD
• Zara Meriata Eden, PT ASSISTANT
• Edenpath ABA Maryland LLC
• Lewis Charles Eder IV, CRNA
• Paul A Eder, M.D.
• Teresa Ann Eder, DNP, AGACNP-BC, CCRN
• Makeba Rebecca Edges
• Edgewellness LLC &Nursing Services

• Pediatric Registered Nurse in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Pediatric Registered Nurse in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2011; 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.