Active NPI
Kathleen A Storm, C.R.N.P.
- Family Nurse Practitioner
- Ocean City, MD
National Provider Identifier
1043342603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R064798
- Practice address
- 12510 Ocean Gtwy
Ocean City, MD 21842-9690 - Phone
- (410) 213-1228
- NPI assigned
- Mar 9, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R064798 | MD | Primary |
Addresses
Primary practice location
12510 Ocean Gtwy
Ocean City, MD 21842-9690
Mailing address
12510 Ocean Gtwy
Ocean City, MD 21842-9690
Phone (410) 213-1228
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| S1270006 | Other | MD | CAREFIRST REGIONAL GBMC |
| 264842 | Other | MD | GBMC KAISER PERM |
| KJ73-89370001 | Other | MD | CAREFIRST OF MARYLAND GBM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R064798 | MD | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392249600000",
"number": "1043342603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12510 OCEAN GTWY",
"city": "OCEAN CITY",
"state": "MD",
"postal_code": "218429690",
"telephone_number": "410-213-1228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12510 OCEAN GTWY",
"city": "OCEAN CITY",
"state": "MD",
"postal_code": "218429690",
"telephone_number": "410-213-1228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STORM",
"first_name": "KATHLEEN",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "C.R.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-09",
"last_updated": "2014-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "R064798",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST REGIONAL GBMC",
"identifier": "S1270006",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GBMC KAISER PERM",
"identifier": "264842",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST OF MARYLAND GBM",
"identifier": "KJ73-89370001",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ocean City, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.