Active NPI
Kirstie Ducharme-Smith
- Children's Chronic Disease Hospital
- Baltimore, MD
National Provider Identifier
1063952786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Children's Chronic Disease Hospital
- License
- DX3886
- Practice address
- 911 S Charles St Apt 403
Baltimore, MD 21230-4066 - Phone
- (507) 358-3454
- NPI assigned
- Feb 28, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Children's Chronic Disease Hospital | 281PC2000X | DX3886 | MD | Primary |
Addresses
Primary practice location
911 S Charles St Apt 403
Baltimore, MD 21230-4066
Mailing address
911 S Charles St Apt 403
Baltimore, MD 21230-4066
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DX3886 | MD | MD | Children' s Chronic Disease Hospital |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488240000000",
"number": "1063952786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "911 S CHARLES ST APT 403",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212304066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "911 S CHARLES ST APT 403",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212304066",
"telephone_number": "507-358-3454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUCHARME-SMITH",
"first_name": "KIRSTIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-02-28",
"last_updated": "2017-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "281PC2000X",
"taxonomy_group": "",
"desc": "Chronic Disease Hospital, Children",
"state": "MD",
"license": "DX3886",
"primary": true
}
],
"identifiers": [],
"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 Feb 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.