Active NPI
Katherine Nugent, CRNA
- Certified Registered Nurse Anesthetist
- Baltimore, MD
National Provider Identifier
1053307595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- R069863
- Practice address
- 3455 Wilkens Ave
Suite 100
Baltimore, MD 21229-5213 - Phone
- (410) 646-0331
- Fax
- (410) 644-6182
- NPI assigned
- Sep 20, 2005
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | R069863 | MD | Primary |
Addresses
Primary practice location
3455 Wilkens Ave
Suite 100
Baltimore, MD 21229-5213
Mailing address
2515 Boston St
Unit P 1
Baltimore, MD 21224-4739
Phone (410) 967-7950
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 553121704 | Medicaid | MD |
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
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R069863 | MD | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maryland Endoscopy Anesthesia LLC | Current | Accepting new patients | |
| Woodholme Gastroenterology Assoc PA | Past | Accepting new patients | |
| Endocentre at Quarterfield Station | Past | Accepting new patients |
Locations
100 West Rd
Ste 115
Towson, MD 21204
Phone (410) 494-0144
Interoperability endpoints
- katherine.nugent.p1@direct.katzeneye.nextgenshare.com
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- Towson, MD
- NPI 1366818411
-
- Endoscopy Clinic/Center
- Glen Burnie, MD
- NPI 1396798930
-
- Gastroenterology Physician
- Baltimore, MD
- NPI 1700839347
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325721600000",
"number": "1053307595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2515 BOSTON ST",
"address_2": "UNIT P 1",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212244739",
"telephone_number": "410-967-7950",
"fax_number": "410-342-2655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3455 WILKENS AVE",
"address_2": "SUITE 100",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212295213",
"telephone_number": "410-646-0331",
"fax_number": "410-644-6182"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NUGENT",
"first_name": "KATHERINE",
"name_prefix": "Miss",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-20",
"last_updated": "2012-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MD",
"license": "R069863",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "553121704",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.