Cara Reske, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

R202772 Issued in MD

Practice address

1792 Merritt Blvd
Dundalk, MD 21222-3212

Phone

(410) 284-1133

Fax

(410) 284-3371

NPI assigned

May 18, 2015

Sex

Female

Sole proprietor

No

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.

• Dundalk Pediatric Associates, P. a.

  • Pediatrics Physician
  • Dundalk, MD
  • NPI 1003986704
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Pediatric Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: carareske@dped.allscriptsdirect.net

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 18, 2020.

{
    "created_epoch": "1431907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592438400000",
    "number": "1013395474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1792 MERRITT BLVD",
            "city": "DUNDALK",
            "state": "MD",
            "postal_code": "212223212",
            "telephone_number": "410-284-1133",
            "fax_number": "410-284-3371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1792 MERRITT BLVD",
            "city": "DUNDALK",
            "state": "MD",
            "postal_code": "212223212",
            "telephone_number": "410-284-1133",
            "fax_number": "410-284-3371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RESKE",
        "first_name": "CARA",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-18",
        "last_updated": "2020-06-18",
        "certification_date": "2020-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R202772",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MD",
            "license": "R202772",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "339517100",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "carareske@dped.allscriptsdirect.net",
            "affiliation": "N",
            "endpointDescription": "office",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Dundalk",
            "address_1": "1792 Merritt Blvd",
            "city": "Dundalk",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212223212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lance Ranek, DPT
• Erika Monique Rauscher, PT
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• Kelly A Rego, MSPT
• Katelyn Rettaliata
• Earl Wesley Ridgell Jr., MA, MS, LCPC
• Angela Leasca Rizakos, CRNP
• Crystal Antoinettee Roach, MD, MPH
• Cynthia Robertson, LCSW-C

• All providers in Dundalk, MD
• Pediatric Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.