Active NPI
Kenneth Fludd Sr.
- Counselor
- Salisbury, MD
National Provider Identifier
1922560457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 1113 Healthway Dr
Salisbury, MD 21804-4470 - Phone
- (410) 822-5007
- Fax
- (410) 822-5569
- NPI assigned
- Apr 3, 2019
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | MD | Primary |
Addresses
Primary practice location
1113 Healthway Dr
Salisbury, MD 21804-4470
Mailing address
1113 Healthway Dr
Salisbury, MD 21804-4470
Phone (410) 334-6961
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101Y00000X | Medicaid | MD |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554249600000",
"number": "1922560457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1113 HEALTHWAY DR",
"city": "SALISBURY",
"state": "MD",
"postal_code": "218044470",
"telephone_number": "410-334-6961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1113 HEALTHWAY DR",
"city": "SALISBURY",
"state": "MD",
"postal_code": "218044470",
"telephone_number": "410-822-5007",
"fax_number": "410-822-5569"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLUDD",
"first_name": "KENNETH",
"name_suffix": "Sr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-03",
"last_updated": "2019-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MD",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101Y00000X",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Salisbury, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.