Individual provider Active NPI

Barbara Resnick, PHD, CRNP, FAAN ,FAA

  • Gerontology Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1942205380
Registry record updated Dec 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
R079215 Issued in MD
Practice address
3907 Cloverhill Rd
Baltimore, MD 21218-1708
Phone
(443) 812-2735
NPI assigned
Jun 14, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X R079215 MD Primary

Addresses

Primary practice location

3907 Cloverhill Rd
Baltimore, MD 21218-1708

Mailing address

3907 Cloverhill Rd
Baltimore, MD 21218-1708
Phone (443) 812-2735

Other practice location 1

830 W 40th St
Baltimore, MD 21211-2116
Phone (410) 243-6705

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120412000037 MD Practitioner - Nurse Practitioner 2961663398 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1982
Medicare assignment
May accept Medicare assignment
Group practices
Hilary Don MD LLCGroup PAC ID 5890726236, 2 clinicians

Practice addresses (Care Compare)

5901 N Charles St
Baltimore, MD 21210-1318

830 W 40TH St
Roland Park Place
Baltimore, MD 21211-2116
Phone (410) 464-6238

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
R079215MDMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hilary Don MD LLC CurrentSince Jan 1, 2023 Accepting new patients

Locations

830 W 40th St
Baltimore, MD 21211
Phone (410) 243-5800

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672358400000",
    "number": "1942205380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3907 CLOVERHILL RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212181708",
            "telephone_number": "443-812-2735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3907 CLOVERHILL RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212181708",
            "telephone_number": "443-812-2735"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "830 W 40th St",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212112116",
            "country_code": "US",
            "telephone_number": "410-243-6705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RESNICK",
        "first_name": "BARBARA",
        "name_prefix": "Prof.",
        "credential": "PHD, CRNP, FAAN ,FAA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-14",
        "last_updated": "2022-12-30",
        "certification_date": "2022-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MD",
            "license": "R079215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.