Individual provider Active NPI

Kathryn Kloss, CRNP

  • Family Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1003363854
Registry record updated Aug 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R201095 Issued in MD
Practice address
1 E 31St St # N200
Baltimore, MD 21218-3902
Phone
(410) 516-8270
Fax
(410) 516-4784
NPI assigned
Sep 8, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R201095 MD Primary

Addresses

Primary practice location

1 E 31St St # N200
Baltimore, MD 21218-3902

Mailing address

1 E 31St St # N200
Baltimore, MD 21218-3902
Phone (410) 516-8270

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20161227000451 MD Practitioner - Nurse Practitioner 5193006526 Reassigns benefits to 1 organization
I20161227000596 DC Practitioner - Nurse Practitioner 5193006526 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R201095MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins Community Physicians, Inc CurrentSince Nov 21, 2016 Accepting new patients
Johns Hopkins Community Physicians CurrentSince Nov 21, 2016 Accepting new patients
Johns Hopkins Community Physicians, Inc CurrentSince Nov 21, 2016 Accepting new patients
Student Health and Wellness Center CurrentSince Nov 19, 2023 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1000 E Eager St
Baltimore, MD 21202
Phone (410) 522-9800

1 E 31st St
#N200
Baltimore, MD 21218
Phone (410) 516-3311

14207 Park Center Dr
Ste 102
Laurel, MD 20707
Phone (301) 604-5254

9910 Franklin Square Dr
#2110
Nottingham, MD 21236
Phone (410) 933-5412

4924 Campbell Blvd
Ste 200
Nottingham, MD 21236
Phone (443) 442-2300

Interoperability endpoints

  • Direct secure messaging: kkloss10158@direct.hopkinsmedicine.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1473292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692921600000",
    "number": "1003363854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 E 31ST ST # N200",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212183902",
            "telephone_number": "410-516-8270",
            "fax_number": "410-516-4784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 E 31ST ST # N200",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212183902",
            "telephone_number": "410-516-8270",
            "fax_number": "410-516-4784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLOSS",
        "first_name": "KATHRYN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-08",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R201095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.