Organization Active NPI

Empower Pediatrics

  • Pediatrics Physician
  • Laurel, MD
National Provider Identifier
1194426361
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
EMPOWER PEDIATRICS
Practice address
14113 Baltimore Ave Ste B
Laurel, MD 20707-5073
Phone
(240) 360-5723
Fax
(443) 558-7796
NPI assigned
Mar 15, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Authorized official

Name
Dr. Colleen M Wallace McKay, MDNPI 1255627469
Title
Medical Director
Phone
(504) 284-8837

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

14113 Baltimore Ave Ste B
Laurel, MD 20707-5073

Mailing address

14113 Baltimore Ave Ste B
Laurel, MD 20707-5073
Phone (240) 360-5723

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D2310739Empower Pediatrics14113 Baltimore Ave, Laurel, MD 20707Certificate of waiverSep 9, 2026

National Provider Directory

National Provider Directory

Locations

14113 Baltimore Ave
Laurel, MD 20707

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1678838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736899200000",
    "number": "1194426361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14113 BALTIMORE AVE STE B",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207075073",
            "telephone_number": "240-360-5723",
            "fax_number": "443-558-7796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14113 BALTIMORE AVE STE B",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207075073",
            "telephone_number": "240-360-5723",
            "fax_number": "443-558-7796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPOWER PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-15",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A",
        "authorized_official_last_name": "WALLACE MCKAY",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "504-284-8837",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.