Active NPI
Jennifer M Redmond, CPNP
- Pediatric Nurse Practitioner
- Annapolis, MD
National Provider Identifier
1104279934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- R157881
- Practice address
- 200 Forbes St
Suite 200
Annapolis, MD 21401-1538 - Phone
- (410) 263-6363
- NPI assigned
- Jul 17, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | R157881 | MD | Primary |
Addresses
Primary practice location
200 Forbes St
Suite 200
Annapolis, MD 21401-1538
Mailing address
200 Forbes St
Suite 200
Annapolis, MD 21401-1538
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
- Credentials
- Certified Pediatric Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R157881 | MD | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trusted Doctors LLC | Past | Accepting new patients | |
| Trusted Doctors LLC | Past | Accepting new patients |
Interoperability endpoints
- jennifer.redmond@annapeds.eclinicaldirectplus.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- Chester, MD
- NPI 1639935026
-
- Pediatrics Physician
- Fairfax, VA
- NPI 1083793525
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468713600000",
"number": "1104279934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 FORBES ST",
"address_2": "SUITE 200",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214011538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 FORBES ST",
"address_2": "SUITE 200",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214011538",
"telephone_number": "410-263-6363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REDMOND",
"first_name": "JENNIFER",
"middle_name": "M",
"credential": "CPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-17",
"last_updated": "2016-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "MD",
"license": "R157881",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Annapolis, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.