Active NPI
Catherine Ann Laugesen, CRNP
- Adult Health Nurse Practitioner
- Fort George G Meade, MD
National Provider Identifier
1164511366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- R140770
- Practice address
- 9800 Savage Rd
Suite 6404
Fort George G Meade, MD 20755-5999 - Phone
- (410) 744-0898
- Fax
- (410) 744-2007
- NPI assigned
- Oct 12, 2006
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | R140770 | MD | Primary |
Addresses
Primary practice location
9800 Savage Rd
Suite 6404
Fort George G Meade, MD 20755-5999
Mailing address
9800 Savage Rd
Suite 6404
Fort George G Meade, MD 20755-5999
Phone (301) 688-7264
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 027108000 | Medicaid | MD | |
| 169128Y56 | Other | MD | MEDICARE PTAN |
Other names 1
- Catherine Ann Judy
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R140770 | MD | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid-Atlantic Nephrology Associates PA | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Nephrology Physician
- Baltimore, MD
- NPI 1356390108
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387411200000",
"number": "1164511366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9800 SAVAGE RD",
"address_2": "SUITE 6404",
"city": "FORT GEORGE G MEADE",
"state": "MD",
"postal_code": "207555999",
"telephone_number": "301-688-7264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9800 SAVAGE RD",
"address_2": "SUITE 6404",
"city": "FORT GEORGE G MEADE",
"state": "MD",
"postal_code": "207555999",
"telephone_number": "410-744-0898",
"fax_number": "410-744-2007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAUGESEN",
"first_name": "CATHERINE",
"middle_name": "ANN",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-12",
"last_updated": "2013-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MD",
"license": "R140770",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "027108000",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "169128Y56",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CATHERINE",
"last_name": "JUDY",
"middle_name": "ANN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Fort George G Meade, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.