ST JOHNS COLLEGE HEALTH CENTER
NPI 1295091015
Nurse Practitioner in Annapolis, MD
NPI Status: Active since April 05, 2012
- Organization
- Nurse Practitioner
- CLIA Number: 21D1053894
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 05-07-2026
About ST JOHNS COLLEGE HEALTH CENTER
This page provides the complete NPI Profile along with additional information for St Johns College Health Center, a provider established in Annapolis, Maryland operating as a Nurse Practitioner. The healthcare provider is registered in the NPI registry with number 1295091015 assigned on April 2012. The practitioner's primary taxonomy code is 363L00000X with license number R063769 (MD). The provider is registered as an organization and their NPI record was last updated 13 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is James Irungu (Credentialing Manager)
- NPI
- 1295091015
- Provider Name
- ST JOHNS COLLEGE HEALTH CENTER
- Entity Type
- Organization
- Location Address
- 60 COLLEGE AVE ANNAPOLIS, MD 21401
- Location Phone
- (410) 626-2553
- Mailing Address
- 60 COLLEGE AVE ANNAPOLIS, MD 21401
- Mailing Phone
- (410) 626-2553
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-05-2012
- Last Update Date
- 04-05-2012
- Code Navigator
A nurse practitioner (NP) like St Johns College Health Center is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner
- Taxonomy Code
- 363L00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- R063769
- License State
- MD
- Taxonomy Description
- (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 21D1053894
- Facility Type
- Physician Office
- Certificate Effective Date
- May 08, 2024
- Certificate Expiration Date
- May 07, 2026
- Laboratory Director
- NANCY A. CALABRESE
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to St Johns College Health Center in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 9 | 5 | 0 | 9 | 1 | 0 | 1 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 18 | 5 | 0 | 9 | 2 | 0 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 8 + 5 + 0 + 9 + 2 + 0 + 2 + 24 = 55 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 55 = 5 | 5 | ||||||||
The NPI number 1295091015 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1659490258 | MRS. NANCY AGNES CALABRESE CRNP Individual | Nurse Practitioner (School) | 60 COLLEGE AVE ANNAPOLIS, MD 21401 (410) 626-2553 |
| 1558938902 | LAURI CODY Individual | Nurse Practitioner (Psychiatric/Mental Health) | 60 COLLEGE AVE ANNAPOLIS, MD 21401 (813) 458-7232 |
| 1366048662 | RICHARD DOYLE LCSW Individual | Social Worker (Clinical) | 60 COLLEGE AVE ANNAPOLIS, MD 21401 (434) 996-2262 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1295091015, enumerated in the NPI registry as an "organization" on April 05, 2012
The provider is located at 60 College Ave Annapolis, Md 21401 and the phone number is (410) 626-2553
This medical organization specializes in Nurse Practitioner with taxonomy code 363L00000X
The provider's CLIA number is 21D1053894 for a "physician office" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..
This NPI record was last updated on April 05, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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