Individual provider Active NPI

Julia Sancarranco, NURSE PRACTITIONER

  • Psychiatric/Mental Health Nurse Practitioner
  • Cambridge, MD
National Provider Identifier
1962009449
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AC007079 Issued in MD
Practice address
3093 Beverly LN Unit a
Cambridge, MD 21613-3433
Phone
(321) 750-7699
Fax
(410) 600-3939
NPI assigned
Oct 7, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine Physician 208VP0000X ACC003355 MD
Primary Care Nurse Practitioner 363LP2300X AC003355 MD
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AC007079 MD Primary

Addresses

Primary practice location

3093 Beverly LN Unit a
Cambridge, MD 21613-3433

Mailing address

1125 West St.
Suite 200 #311
Annapolis, MD 21401
Phone (321) 750-7699

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
I20201202002052 MD Practitioner - Nurse Practitioner 3971914599 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Whole Home Health LLCGroup PAC ID 9638619174, 2 clinicians

Practice addresses (Care Compare)

1125 W St
Suite 200
Annapolis, MD 21401-4279

1298 Bay Dale Dr
Suite 211
Arnold, MD 21012-2815
Phone (443) 714-7210

Hospital & facility affiliations

  • Bayhealth Hospital, Sussex Campus Hospital, Milford, DE, CCN 080009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ACC003355MDMDPain Medicine Physician
AC007079MDMDPsychiatric/Mental Health Nurse Practitioner
AC003355MDMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Whole Home Health, LLC Psychiatric/Mental Health CurrentSince Jul 28, 2024 Accepting new patients
Patient Centered Care of Cambridge Pain Medicine CurrentSince Dec 3, 2023 Accepting new patients
Onsite Medical Palliative Care LLC PastSince Jun 1, 2021 Accepting new patients
American Wound Care PC PastSince Apr 9, 2024 Accepting new patients

Locations

1125 West St
Ste 200
Annapolis, MD 21401
Phone (443) 714-7210

1125 West St
Annapolis, MD 21401
Phone (301) 904-4851

3093 Beverly Ln
#A
Cambridge, MD 21613
Phone (321) 750-7699

Interoperability endpoints

  • Direct secure messaging: julia.sancarranco.1@28105.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/17833/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1602028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1962009449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 WEST ST.",
            "address_2": "SUITE 200 #311",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "21401",
            "telephone_number": "321-750-7699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3093 BEVERLY LN UNIT A",
            "city": "CAMBRIDGE",
            "state": "MD",
            "postal_code": "216133433",
            "telephone_number": "321-750-7699",
            "fax_number": "410-600-3939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANCARRANCO",
        "first_name": "JULIA",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-07",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "MD",
            "license": "ACC003355",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MD",
            "license": "AC003355",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "AC007079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MD

Sources for this page

Verify at the official NPI Registry.