Active NPI
Nancy R Aycock-Walman
- Pediatrics Physician
- Reisterstown, MD
National Provider Identifier
1932283272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- D0035794
- Practice address
- 106 Business Center Drive
Reisterstown, MD 21136 - Phone
- (410) 517-1263
- Fax
- (410) 517-1266
- NPI assigned
- Oct 24, 2006
- Last updated
- Mar 3, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | D0035794 | MD | Primary |
Addresses
Primary practice location
106 Business Center Drive
Reisterstown, MD 21136
Mailing address
PO Box 301
Glyndon, MD 21071-0301
Phone (410) 517-1263
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 378800800 | 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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299110400000",
"number": "1932283272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 301",
"city": "GLYNDON",
"state": "MD",
"postal_code": "210710301",
"telephone_number": "410-517-1263",
"fax_number": "410-517-1266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 BUSINESS CENTER DRIVE",
"city": "REISTERSTOWN",
"state": "MD",
"postal_code": "21136",
"telephone_number": "410-517-1263",
"fax_number": "410-517-1266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AYCOCK-WALMAN",
"first_name": "NANCY",
"middle_name": "R",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-24",
"last_updated": "2011-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MD",
"license": "D0035794",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "378800800",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Reisterstown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.