Active NPI
Jaimie R Wolf
- Psychiatric/Mental Health Nurse Practitioner
- Baltimore, MD
National Provider Identifier
1265121180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- R228729
- Practice address
- 1800 Orleans St
Bloomberg Children'S BLDG. 3Rd Floor, Room 3329
Baltimore, MD 21287 - Phone
- (443) 858-2855
- NPI assigned
- May 5, 2023
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | R228729 | MD | Primary |
Addresses
Primary practice location
1800 Orleans St
Bloomberg Children'S BLDG. 3Rd Floor, Room 3329
Baltimore, MD 21287
Mailing address
1800 Orleans St
Bloomberg Children'S BLDG. 3Rd Floor, Room 3329
Baltimore, MD 21287
Phone (443) 858-2855
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R228729 | MD | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683244800000",
"number": "1265121180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 ORLEANS ST",
"address_2": "BLOOMBERG CHILDREN'S BLDG. 3RD FLOOR, ROOM 3329",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21287",
"telephone_number": "443-858-2855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 ORLEANS ST",
"address_2": "BLOOMBERG CHILDREN'S BLDG. 3RD FLOOR, ROOM 3329",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21287",
"telephone_number": "443-858-2855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLF",
"first_name": "JAIMIE",
"middle_name": "R",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-05",
"last_updated": "2023-05-05",
"certification_date": "2023-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MD",
"license": "R228729",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.