Active NPI
Breanna Foehrkolb
- Nurse Practitioner
- Timonium, MD
National Provider Identifier
1932089117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- R236453
- Practice address
- 15 W Aylesbury Rd
Timonium, MD 21093-4142 - Phone
- (410) 575-1200
- NPI assigned
- Sep 6, 2025
- Last updated
- Dec 22, 2025
- Sex
- Unspecified or another gender identity
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R236453 | MD | Primary |
Addresses
Primary practice location
15 W Aylesbury Rd
Timonium, MD 21093-4142
Mailing address
7018 Greenbank Rd
Baltimore, MD 21220-1111
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R236453 | MD | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1757116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766361600000",
"number": "1932089117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7018 GREENBANK RD",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212201111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 W AYLESBURY RD",
"city": "TIMONIUM",
"state": "MD",
"postal_code": "210934142",
"telephone_number": "410-575-1200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOEHRKOLB",
"first_name": "BREANNA",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2025-09-06",
"last_updated": "2025-12-22",
"certification_date": "2025-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MD",
"license": "R236453",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Timonium, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.