Individual provider Active NPI

Cecilia Mah- Nso Arrey, FNP

  • Family Nurse Practitioner
  • Randallstown, MD
National Provider Identifier
1902433162
Registry record updated Mar 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R208308 Issued in MD
Practice address
3420 Carriage Hill Cir Apt 104
Randallstown, MD 21133-6037
Phone
(443) 675-8363
NPI assigned
Mar 26, 2020
Last updated
Mar 26, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R208308 MD Primary

Addresses

Primary practice location

3420 Carriage Hill Cir Apt 104
Randallstown, MD 21133-6037

Mailing address

3420 Carriage Hill Cir Apt 104
Randallstown, MD 21133-6037
Phone (443) 675-8363

Other identifiers 1

IdentifierTypeStateIssuer
R208308OtherMDCRNP-FAMILY LICENSE NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Randallstown

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240219002248 TX Practitioner - Nurse Practitioner 2466873278 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Maniilaq Association CurrentSince Jan 14, 2024 Accepting new patients
Maniilaq Association CurrentSince Jan 14, 2024 Accepting new patients
Maniilaq Association Current Accepting new patients

Organizations & group practices 3

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": "1585180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585180800000",
    "number": "1902433162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3420 CARRIAGE HILL CIR APT 104",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211336037",
            "telephone_number": "443-675-8363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3420 CARRIAGE HILL CIR APT 104",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211336037",
            "telephone_number": "443-675-8363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARREY",
        "first_name": "CECILIA",
        "middle_name": "MAH- NSO",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-26",
        "last_updated": "2020-03-26",
        "certification_date": "2020-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R208308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRNP-FAMILY LICENSE NUMBER",
            "identifier": "R208308",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Randallstown",
            "affiliation": "N",
            "address_1": "3420 Carriage Hill Cir Apt 104",
            "city": "Randallstown",
            "state": "MD",
            "country_code": "US",
            "postal_code": "211336037",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Randallstown, MD

Sources for this page

Verify at the official NPI Registry.