Christine Marie Habersaat, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

R206783 Issued in MD

Practice address

1405 Madison Park Dr Ste 1
Glen Burnie, MD 21061-5864

Phone

(410) 582-9434

NPI assigned

Feb 7, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Pediatric Nurse Practitioner, Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: christine.habersaat.1@8042.direct.athenahealth.com

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.

• Lifebridge Suburban Physician Group II LLC

  • Pediatric Adolescent Medicine Physician
  • Randallstown, MD
  • NPI 1194170027
  Medicare reassignment NPD
• Lifebridge Suburban Physician Group II, LLC

  • Pediatrics Physician
  • Lutherville, MD
  • NPI 1851835136
  NPD
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1517961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559260800000",
    "number": "1023517869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 PARK AVE APT 625",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212014783",
            "telephone_number": "201-280-6935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 MADISON PARK DR STE 1",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615864",
            "telephone_number": "410-582-9434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABERSAAT",
        "first_name": "CHRISTINE",
        "middle_name": "MARIE",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-07",
        "last_updated": "2019-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MD",
            "license": "R206783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alok K Gupta, MD
• Gregory Gurfinchel, M.D.
• Mark S. Gurman, DMD
• Katherine Gussman Woods, LCSW C
• Marjorie Bernadette Gwynn, MD
• Fady Ayed Haddad, D.D.S.
• Jenny Ranae Hahne, O.D.
• Constance Davis Haines, OTR
• Yasaman Hakakian, D.M.D.
• Halcyon 91' LLC

• Pediatric Nurse Practitioner in Glen Burnie, MD
• Providers in Glen Burnie, MD by specialty
• Pediatric Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.