Jessie Kolodin, RN, MS, CS-P

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

R092780 Issued in MD

Practice address

30 E Padonia Rd Ste 208
Timonium, MD 21093-2308

Phone

(410) 628-8899

NPI assigned

Oct 2, 2006

Sex

Female

Sole proprietor

Yes

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

Specialty

Certified Clinical Nurse Specialist (CNS)

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Registered Nurse

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565913600000",
    "number": "1073606141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 E PADONIA RD STE 208",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210932308",
            "telephone_number": "410-628-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 E PADONIA RD STE 208",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210932308",
            "telephone_number": "410-628-8899"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 E Padonia Rd Ste 208",
            "address_purpose": "LOCATION",
            "city": "Timonium",
            "state": "MD",
            "postal_code": "210932308",
            "country_code": "US",
            "telephone_number": "410-628-8899",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOLODIN",
        "first_name": "JESSIE",
        "credential": "RN, MS, CS-P",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2019-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R092780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carin Kirikos, LCSW-C
• Robert Neil Kittle Sr., M.A.,M.DIV.,L.C.P.C.
• David Knopf, D.M.D.
• Kochmann Collector, P.a.
• Nano Kathleen Kolls, MSW. LCSW-C
• Caralena Marie Kopp, RMP
• Christiana Michelle Korbelak
• Terrell J Kowalski
• Marie Alicia Kramer, M.D.
• Danielle Kriegsmann, OTR/L

• Nurse Practitioner in Timonium, MD
• Providers in Timonium, MD by specialty
• Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.