Active NPI
Ram Recovery
- Addiction Medicine (Internal Medicine) Physician
- Baltimore, MD
National Provider Identifier
1922623313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Internal Medicine) Physician
- Legal business name
- RAM RECOVERY
- Practice address
- 3455 Wilkens Ave Ste 100
Baltimore, MD 21229-5204 - Phone
- (240) 447-8036
- Fax
- (240) 213-2335
- NPI assigned
- Jun 10, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jameela Mitchell, CRNP
- Title
- Nurse Practitioner
- Phone
- (443) 300-6757
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Registered Nurse | 163WA0400X | |||
| Addiction Medicine (Internal Medicine) Physician | 207RA0401X | Primary | ||
| General Practice Physician | 208D00000X | |||
| Adult Health Nurse Practitioner | 363LA2200X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X |
Addresses
Primary practice location
3455 Wilkens Ave Ste 100
Baltimore, MD 21229-5204
Mailing address
215 Navajo Dr
Red Lion, PA 17356-9646
Phone (443) 300-6757
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591747200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1591747200000",
"number": "1922623313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 NAVAJO DR",
"city": "RED LION",
"state": "PA",
"postal_code": "173569646",
"telephone_number": "443-300-6757",
"fax_number": "443-460-0865"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3455 WILKENS AVE STE 100",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212295204",
"telephone_number": "240-447-8036",
"fax_number": "240-213-2335"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RAM RECOVERY",
"organizational_subpart": "NO",
"enumeration_date": "2020-06-10",
"last_updated": "2020-06-10",
"certification_date": "2020-06-10",
"status": "A",
"authorized_official_last_name": "MITCHELL",
"authorized_official_first_name": "JAMEELA",
"authorized_official_title_or_position": "NURSE PRACTITIONER",
"authorized_official_telephone_number": "443-300-6757",
"authorized_official_credential": "CRNP"
},
"taxonomies": [
{
"code": "163WA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RA0401X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Addiction Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Adult Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.