Evelyn Blaemire, CRNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

R094362 Issued in MD

Practice address

7350 Grace Dr
Columbia, MD 21044-2470

Phone

(410) 799-0642

Fax

(410) 630-3838

NPI assigned

Nov 8, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Evelyn Yang Booth Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)
• Integrace Health Inc

  • Geriatric Medicine (Internal Medicine) Physician
  • Sykesville, MD
  • NPI 1548284086
  NPD (past)

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1922089861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8129 SEA WATER PATH",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210452882",
            "telephone_number": "410-799-0642",
            "fax_number": "410-630-3838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7350 GRACE DR",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210442470",
            "telephone_number": "410-799-0642",
            "fax_number": "410-630-3838"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5672 Heatherfield Pl",
            "address_purpose": "LOCATION",
            "city": "New Market",
            "state": "MD",
            "postal_code": "217747015",
            "country_code": "US",
            "telephone_number": "410-786-1803",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLAEMIRE",
        "first_name": "EVELYN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-08",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R094362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EVELYN",
            "last_name": "BOOTH",
            "middle_name": "YANG",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sherrie Trede Black, L.AC.
• Terri Lynette Blackmon, RN
• Stephanie Marqui Blackmore
• Melissa Blackwell, PSY.D.
• Mary Blackwood
• Thomas Kevin Blaik, D.D.S.
• Abigail Blair
• Diane Marie Blair, RN, BSN
• Kimberly Jane Blair, RN, CCM
• Tammie Mae Blair, NP

• Nurse Practitioner in Columbia, MD
• Providers in Columbia, MD by specialty
• Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.