Kayla Mardaga, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R206943 Issued in MD

Practice address

1300 York Rd Ste 30D
Lutherville, MD 21093-6090

Phone

(443) 519-2128

NPI assigned

Jun 18, 2017

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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, FL, TN, GA, MS, AR, IL, MN, OR, IN, VA, WV, SC, NC, WI, CT, ME, MA, RI, NH, VT21 enrollments

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 21

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Matthew P Mardiney MD PC

  • Allergy & Immunology Physician
  • Bel Air, MD
  • NPI 1174881098
  Medicare reassignment NPD
• Openloop Healthcare Partners PC

  • General Practice Physician
  • Des Moines, IA
  • NPI 1245820661

  IN, ME, MS, NC, OR, SC, VT, WV

  Medicare reassignment
• Openloop Healthcare Partners California PC

  • Plastic and Reconstructive Surgery Physician
  • Los Angeles, CA
  • NPI 1598418063
  NPD
• Openloop Healthcare Partners California PC

  • General Practice Physician
  • Palm Desert, CA
  • NPI 1659042331
  NPD
• Openloop Healthcare Partners Colorado, PC

  • General Practice Physician
  • Denver, CO
  • NPI 1912678012
  NPD
• Openloop Healthcare Partners New Jersey PC

  • General Practice Physician
  • Jersey City, NJ
  • NPI 1588335152
  NPD
• Openloop Healthcare Partners PC

  • General Practice Physician
  • Des Moines, IA
  • NPI 1275291288
  NPD
• Openloop Healthcare Partners Wisconsin, SC

  • General Practice Physician
  • Madison, WI
  • NPI 1083371629
  NPD
• Imaging Resource Centers LTD

  • Mobile Radiology Clinic/Center
  • Miamisburg, OH
  • NPI 1003855909
  NPD (past)

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

{
    "created_epoch": "1497744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1093245532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1938 SUE CREEK DR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212211928",
            "telephone_number": "410-980-2764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 YORK RD STE 30D",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210936090",
            "telephone_number": "443-519-2128"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2225 Old Emmorton Rd Ste 111",
            "address_purpose": "LOCATION",
            "city": "Bel Air",
            "state": "MD",
            "postal_code": "210156122",
            "country_code": "US",
            "telephone_number": "443-987-6998",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARDAGA",
        "first_name": "KAYLA",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-18",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R206943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmine Niquelle Manley, MD
• Charles Mann, D.M.D
• Annette Rossi Mannion, CPNP
• Paul Manson, M.D.
• Kathryn Marciniak, MS, CCC-SLP
• Kacie Marenga, CRNP
• Spyridon Marinopoulos, M.D.
• Mitchel Markins, CRNA
• Valerie Tina Marks, LCSW-C
• Cheryl Marocco, LCSW-C

• Family Nurse Practitioner in Lutherville, MD
• Providers in Lutherville, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.