Active NPI
Beth A Grudi, RN
- Registered Nurse
- Ellicott City, MD
National Provider Identifier
1992924153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- R094652
- Practice address
- 3300 N Ridge Rd
Suite 175
Ellicott City, MD 21043-3383 - Phone
- (410) 750-3474
- NPI assigned
- Apr 25, 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R094652 | MD | Primary |
Addresses
Primary practice location
3300 N Ridge Rd
Suite 175
Ellicott City, MD 21043-3383
Mailing address
5665 Bartholow Rd
Sykesville, MD 21784
Phone (410) 795-9016
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)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R094652 | MD | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992924153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5665 BARTHOLOW RD",
"city": "SYKESVILLE",
"state": "MD",
"postal_code": "21784",
"telephone_number": "410-795-9016",
"fax_number": "410-795-9016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 N RIDGE RD",
"address_2": "SUITE 175",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210433383",
"telephone_number": "410-750-3474"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRUDI",
"first_name": "BETH",
"middle_name": "A",
"name_prefix": "Miss",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MD",
"license": "R094652",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ellicott City, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.