Individual provider Active NPI

Sandra Leigh Krotman, APRN-PMH, PMH-NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Rockville, MD
National Provider Identifier
1053904094
Registry record updated Dec 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R118200 Issued in MD
Practice address
1680 E Gude Dr Ste 315
Rockville, MD 20850-1372
Phone
(301) 250-0404
Fax
(302) 637-7970
NPI assigned
Feb 19, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R118200 MD Primary

Addresses

Primary practice location

1680 E Gude Dr Ste 315
Rockville, MD 20850-1372

Mailing address

8522 Manchester Rd
Silver Spring, MD 20901-4341
Phone (202) 794-2901

Other practice location 1

801 Pennsylvania Ave SE
Washington, DC 20003-2167
Phone (202) 461-5125

Other practice location 2

8522 Manchester Rd
Silver Spring, MD 20901-4341
Phone (240) 794-2901

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R118200MDMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1613692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671148800000",
    "number": "1053904094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8522 MANCHESTER RD",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209014341",
            "telephone_number": "202-794-2901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 E GUDE DR STE 315",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208501372",
            "telephone_number": "301-250-0404",
            "fax_number": "302-637-7970"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 Pennsylvania Ave SE",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200032167",
            "country_code": "US",
            "telephone_number": "202-461-5125",
            "fax_number": "202-544-5365",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8522 Manchester Rd",
            "address_purpose": "LOCATION",
            "city": "Silver Spring",
            "state": "MD",
            "postal_code": "209014341",
            "country_code": "US",
            "telephone_number": "240-794-2901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KROTMAN",
        "first_name": "SANDRA",
        "middle_name": "LEIGH",
        "name_prefix": "Ms.",
        "credential": "APRN-PMH, PMH-NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-19",
        "last_updated": "2022-12-16",
        "certification_date": "2022-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R118200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2022; 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.