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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MS. AUTUMN HAILEY FENNER
NPI 1871407254
Student in an Organized Health Care Education/Training Program in Baltimore, MD

Active since October 01, 2026
4701 N CHARLES ST, BALTIMORE, MD 21210(410) 435-0100 Get Directions Write a Review

NPPES record added: October 1, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Ms. Autumn Hailey Fenner NPPES

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

MS. AUTUMN HAILEY FENNER (NPI 1871407254) is an individual student in an organized health care education/training program in Baltimore, Maryland and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1871407254
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMS. AUTUMN HAILEY FENNER
Location Address4701 N CHARLES STBaltimore, MD 21210-2404
Mailing Address15 Ketch Cay CtMiddle River, MD 21220-7512
Phone(410) 435-0100
Sole ProprietorNo
Enumeration DateOctober 1, 2026
NPPES CertifiedOctober 1, 2026
✔ NPI 1871407254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4701 N CHARLES ST, Baltimore, MD 21210
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Other Providers at the Same Location NPPES 16

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

SAMANTHA CHENOWETH-RILL PA-C
Physician Assistant
4701 N CHARLES ST
BALTIMORE, MD 21210
Baltimore City (410) 435-0100
HEATHER FOLZ
Pharmacist (Ambulatory Care)
4701 N CHARLES ST
BALTIMORE, MD 21210
Baltimore City (919) 819-2264
TIANA MARIE BYRD
Nurse Practitioner (Family)
4701 N CHARLES ST
BALTIMORE, MD 21210
Baltimore City (410) 435-0100
DR. ASHLEY ELAINE MOODY PHARM.D.
Pharmacist
4701 N CHARLES ST, BUNTING HALL 132
BALTIMORE, MD 21210
Baltimore City (410) 532-5073
ANDREA GAULD PHARMD
Pharmacist (Ambulatory Care)
4701 N CHARLES ST
BALTIMORE, MD 21210
Baltimore City (410) 532-5067
JOMARYS SOTO ROMAN
Registered Nurse (General Practice)
4701 N CHARLES ST
BALTIMORE, MD 21210
Baltimore City (410) 435-0100
ELHAM HEDAYATPOUR BSN,RN, FNP-S
Registered Nurse (Critical Care Medicine)
4701 N CHARLES ST
BALTIMORE, MD 21210
Baltimore City (443) 722-0266
DR. VINCENT JAMES DICRISCIO PHD, ATC, CSCS
Specialist/Technologist (Athletic Trainer)
4701 N CHARLES ST
BALTIMORE, MD 21210
Baltimore City (410) 532-5385

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 Autumn Fenner's NPI number?

The NPI number for Autumn Fenner is 1871407254. It was assigned to this individual provider in the NPPES registry on October 1, 2026.

Where is Autumn Fenner located?

Autumn Fenner practices at 4701 N Charles St, Baltimore, MD 21210. The listed phone number is (410) 435-0100.

What is Autumn Fenner's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Autumn Fenner was last updated on October 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days 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.