Active NPI
Joyce B Vazzano, CRNP
- Nurse Practitioner
- Elkridge, MD
National Provider Identifier
1992842835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- R065217
- Practice address
- 6095 Marshalee Dr
Elkridge, MD 21075-6053 - Phone
- (410) 379-3522
- Fax
- (410) 379-3591
- NPI assigned
- Jan 31, 2007
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R065217 | MD | Primary |
Addresses
Primary practice location
6095 Marshalee Dr
Elkridge, MD 21075-6053
Mailing address
6095 Marshalee Dr
Elkridge, MD 21075-6053
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R065217 | MD | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205193600000",
"number": "1992842835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6095 MARSHALEE DR",
"city": "ELKRIDGE",
"state": "MD",
"postal_code": "210756053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6095 MARSHALEE DR",
"city": "ELKRIDGE",
"state": "MD",
"postal_code": "210756053",
"telephone_number": "410-379-3522",
"fax_number": "410-379-3591"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAZZANO",
"first_name": "JOYCE",
"middle_name": "B",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-31",
"last_updated": "2008-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MD",
"license": "R065217",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elkridge, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.