ST JOHNS COLLEGE HEALTH CENTER
NPI 1295091015
Nurse Practitioner in Annapolis, MD

Active since April 05, 2012
60 COLLEGE AVE, ANNAPOLIS, MD 21401(410) 626-2553 Get Directions Write a Review

NPPES record last updated: April 5, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About St Johns College Health Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ST JOHNS COLLEGE HEALTH CENTER (NPI 1295091015) is a healthcare organization registered as a nurse practitioner in Annapolis, Maryland and active in the NPI registry since April 2012. The organization lists James Irungu, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1295091015
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameST JOHNS COLLEGE HEALTH CENTER
Location Address60 COLLEGE AVEAnnapolis, MD 21401-1687
Mailing Address60 College AveAnnapolis, MD 21401-1687 · (410) 626-2553
Organization SubpartNo
Authorized OfficialJames IrunguCredentialing Manager · (877) 614-5227
Enumeration DateApril 5, 2012
NPI 1295091015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in MD · R063769
Definition
(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.
60 COLLEGE AVE, Annapolis, MD 21401

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Psychiatric/Mental Health)
60 COLLEGE AVE
ANNAPOLIS, MD 21401
Nurse Practitioner (School)
60 COLLEGE AVE
ANNAPOLIS, MD 21401

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is St Johns College Health Center's NPI number?

The NPI number for St Johns College Health Center is 1295091015. It was assigned to this organization in the NPPES registry on April 5, 2012.

Where is St Johns College Health Center located?

St Johns College Health Center is located at 60 College Ave, Annapolis, MD 21401. The listed phone number is (410) 626-2553.

What is St Johns College Health Center's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for St Johns College Health Center was last updated on April 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.