Active NPI
Timsy Patel
- Psychiatric/Mental Health Nurse Practitioner
- Columbia, MD
National Provider Identifier
1992411094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- R195357
- Practice address
- 6310 Stevens Forest Rd
Columbia, MD 21046-1036 - Phone
- (410) 740-9001
- NPI assigned
- Jan 23, 2023
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | R195357 | MD | Primary |
Addresses
Primary practice location
6310 Stevens Forest Rd
Columbia, MD 21046-1036
Mailing address
6310 Stevens Forest Rd
Columbia, MD 21046-1036
Phone (410) 740-9001
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
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674432000000",
"number": "1992411094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6310 STEVENS FOREST RD",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210461036",
"telephone_number": "410-740-9001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6310 STEVENS FOREST RD",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210461036",
"telephone_number": "410-740-9001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "TIMSY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-23",
"last_updated": "2023-01-23",
"certification_date": "2023-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MD",
"license": "R195357",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.