Active NPI
Kristin S. Dabbieri, AGNP-C
- Adult Health Nurse Practitioner
- Glen Burnie, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- R192471
- Practice address
- 802 Landmark Dr Ste 120
Glen Burnie, MD 21061-9121 - Phone
- (410) 760-8840
- NPI assigned
- Jul 21, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | R192471 | MD | |
| Adult Health Nurse Practitioner | 363LA2200X | R192471 | MD | Primary |
Addresses
Primary practice location
802 Landmark Dr Ste 120
Glen Burnie, MD 21061-9121
Mailing address
802 Landmark Dr Ste 119
Glen Burnie, MD 21061-9121
Phone (410) 760-8840
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Johns Hopkins Regional Physicians LLC | Otolaryngology | Current | Accepting new patients |
| Privia Care Center LLC | Current | Accepting new patients | |
| Privia Care Center LLC | Current | Accepting new patients | |
| Johns Hopkins Regional Physicians LLC | Current | Accepting new patients | |
| Menocal Medical Services PA | Current | Accepting new patients | |
| Johns Hopkins Regional Physicians LLC | Current | Accepting new patients |
Locations
133 Defense Hwy
Ste 109
Annapolis, MD 21401
Phone (410) 224-5558
10710 Charter Dr
Ste 400
Columbia, MD 21044
Phone (410) 997-7979
110 Baughmans Ln
Ste 140
Frederick, MD 21702
Phone (240) 215-1138
802 Landmark Dr
Ste 120
Glen Burnie, MD 21061
802 Landmark Dr
Ste 119
Glen Burnie, MD 21061
Phone 4107608840203
1300 York Rd
Ste 30D
Lutherville Timonium, MD 21093
Phone (443) 275-1337
950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065
Interoperability endpoints
- kdabbieri1115139@direct.hopkinsmedicine.org
Organizations & group practices 7
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.
-
dba Cardiovascular Specialists of Central Maryland
- Cardiovascular Disease Physician
- Baltimore, MD
- NPI 1609195320
-
dba Gilchrist Elder Medical Care
- Geriatric Medicine (Internal Medicine) Physician
- Baltimore, MD
- NPI 1871069799
-
dba ENTAA Care
- Otolaryngology Physician
- Glen Burnie, MD
- NPI 1396253555
-
dba JHRP - 10285 Little Patuxent Pkwy Ste 200 - Provider Type: 20
- Internal Medicine Physician
- Columbia, MD
- NPI 1871454934
-
- Family Medicine Physician
- Frederick, MD
- NPI 1083795918
-
- Internal Medicine Physician
- Baltimore, MD
- NPI 1730664012
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701129600000",
"number": "1114652377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "802 LANDMARK DR STE 119",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210619121",
"telephone_number": "410-760-8840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "802 LANDMARK DR STE 120",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210619121",
"telephone_number": "410-760-8840"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DABBIERI",
"first_name": "KRISTIN",
"middle_name": "S.",
"credential": "AGNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-21",
"last_updated": "2023-11-28",
"certification_date": "2023-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "MD",
"license": "R192471",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MD",
"license": "R192471",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glen Burnie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; 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.