Active NPI
Kara McCourt-Skeberdis, NCTMB
- Specialist
- Ellicott City, MD
National Provider Identifier
1255463741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- M00851
- Practice address
- 5016 Dorsey Hall Dr
Ste. 102
Ellicott City, MD 21042-7823 - Phone
- (410) 997-1808
- NPI assigned
- Mar 10, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | M00851 | MD | Primary |
Addresses
Primary practice location
5016 Dorsey Hall Dr
Ste. 102
Ellicott City, MD 21042-7823
Mailing address
2352 Millers Mill Rd
Cooksville, MD 21723-9404
Phone (443) 745-0406
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
| License | State | Type | Specialty |
|---|---|---|---|
| M00851 | MD | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411862400000",
"number": "1255463741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2352 MILLERS MILL RD",
"city": "COOKSVILLE",
"state": "MD",
"postal_code": "217239404",
"telephone_number": "443-745-0406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5016 DORSEY HALL DR",
"address_2": "STE. 102",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210427823",
"telephone_number": "410-997-1808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCOURT-SKEBERDIS",
"first_name": "KARA",
"name_prefix": "Ms.",
"credential": "NCTMB",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-10",
"last_updated": "2014-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MD",
"license": "M00851",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ellicott City, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.