NPIMap

Organization Active NPI

Weekend Whitecoat Concierge LLC

Doing business as Weekend Whitecoat

  • Primary Care Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1093310450
Registry record updated Dec 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
WEEKEND WHITECOAT CONCIERGE LLC
Doing business as
Weekend Whitecoat
Practice address
1034 McDonogh St
Baltimore, MD 21205-1110
Phone
(410) 999-1742
Fax
(410) 999-1742
NPI assigned
Dec 3, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2020

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

Authorized official

Name
Mr. Theo Joshua Jones, NPNPI 1386110518
Title
Owner
Phone
(410) 999-1742

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP2300X Primary

Addresses

Primary practice location

1034 McDonogh St
Baltimore, MD 21205-1110

Mailing address

1034 McDonogh St
Baltimore, MD 21205-1110
Phone (410) 999-1742

Other names 1

  • Weekend Whitecoat Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address concierge@weekendwhitecoat.com Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1606953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606953600000",
    "number": "1093310450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1034 MCDONOGH ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212051110",
            "telephone_number": "410-999-1742",
            "fax_number": "410-999-1742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1034 MCDONOGH ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212051110",
            "telephone_number": "410-999-1742",
            "fax_number": "410-999-1742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEEKEND WHITECOAT CONCIERGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-03",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "THEO",
        "authorized_official_middle_name": "JOSHUA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-999-1742",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "concierge@weekendwhitecoat.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1034 McDonogh St",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212051110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Weekend Whitecoat",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 3, 2020; 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.