Individual provider Active NPI

Anne Marie Kirlin, C.R.N.P.

  • Pediatric Nurse Practitioner
  • Gaithersburg, MD
National Provider Identifier
1184888455
Registry record updated Jul 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
R107412 Issued in MD
Practice address
101 W Deer Park Rd
Gaithersburg, MD 20877-1850
Phone
(301) 840-7127
Fax
(301) 840-7127
NPI assigned
Jul 15, 2008
Last updated
Jul 15, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X R107412 MD Primary

Addresses

Primary practice location

101 W Deer Park Rd
Gaithersburg, MD 20877-1850

Mailing address

101 West Deer Park Road
Summit Hill School Based Health Center
Gaithersburg, MD 20877
Phone (301) 840-7127

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

State licenses

LicenseStateTypeSpecialty
R107412MDMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Montgomery County Maryland Government PastSince May 12, 2024 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: annemarie.kirlin.p1@direct.mcg-hhs.nextgenshare.com
  • Direct secure messaging: annemarie.kirlin.p3@direct.mcg-hhs.nextgenshare.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1216080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216080000000",
    "number": "1184888455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 WEST DEER PARK ROAD",
            "address_2": "SUMMIT HILL SCHOOL BASED HEALTH CENTER",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "20877",
            "telephone_number": "301-840-7127",
            "fax_number": "301-840-7127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W DEER PARK RD",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208771850",
            "telephone_number": "301-840-7127",
            "fax_number": "301-840-7127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRLIN",
        "first_name": "ANNE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "C.R.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-15",
        "last_updated": "2008-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MD",
            "license": "R107412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; 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.