Individual provider Active NPI

Kimberly Lingis Quinn, CRNP

  • Acute Care Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1144400250
Registry record updated Dec 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
R081438 Issued in MD
Practice address
22 S Greene St
Baltimore, MD 21201-1544
Phone
(410) 328-7755
NPI assigned
Nov 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X R081438 MD Primary

Addresses

Primary practice location

22 S Greene St
Baltimore, MD 21201-1544

Mailing address

PO Box 630776
Baltimore, MD 21264-2602
Phone (410) 328-7755

Other identifiers 1

IdentifierTypeStateIssuer
S053-0085OtherMDCAREFIRST BC/BS

Other names 1

  • Mrs. Kimberly Lingis Quinn Professional name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101209001291 MD Practitioner - Nurse Practitioner 0143417675 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sinai Hospital of Baltimore Inc CurrentSince Jan 5, 2016 Accepting new patients
Johns Hopkins University CurrentSince Nov 1, 2017 Accepting new patients
Sinai Hospital of Baltimore, Inc. CurrentSince Jan 5, 2016 Accepting new patients
Johns Hopkins University CurrentSince Nov 1, 2017 Accepting new patients
Sinai Hospital of Baltimore Inc Current Accepting new patients
Johns Hopkins University Current Accepting new patients
Union Memorial Hospital Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

2411 W Belvedere Ave
Ste 2
Baltimore, MD 21215
Phone (410) 578-9030

600 N Wolfe St
Baltimore, MD 21287

2411 W Belvedere Ave
Ste 206
Baltimore, MD 21215
Phone (410) 578-9030

5755 Cedar Ln
Columbia, MD 21044
Phone (410) 381-7171

1838 Greene Tree Rd
Ste 420
Pikesville, MD 21208
Phone (410) 494-7920

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1194307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387238400000",
    "number": "1144400250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 630776",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212642602",
            "telephone_number": "410-328-7755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 S GREENE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011544",
            "telephone_number": "410-328-7755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINN",
        "first_name": "KIMBERLY",
        "middle_name": "LINGIS",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-06",
        "last_updated": "2013-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MD",
            "license": "R081438",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BC/BS",
            "identifier": "S053-0085",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "QUINN",
            "middle_name": "LINGIS",
            "prefix": "MRS.",
            "credential": "CRNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.