Active NPI
Kathie Fedele
- Specialist
- Lutherville, MD
National Provider Identifier
1275560625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 16626
- Practice address
- 2324 W Joppa Rd
Suite 100
Lutherville, MD 21093-4615 - Phone
- (443) 416-8916
- NPI assigned
- Jun 28, 2006
- Last updated
- Apr 24, 2017
- 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 | 16626 | MD | Primary |
Addresses
Primary practice location
2324 W Joppa Rd
Suite 100
Lutherville, MD 21093-4615
Mailing address
401 Warren Ave
Baltimore, MD 21230-3929
Phone (401) 962-8917
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492992000000",
"number": "1275560625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 WARREN AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212303929",
"telephone_number": "401-962-8917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2324 W JOPPA RD",
"address_2": "SUITE 100",
"city": "LUTHERVILLE",
"state": "MD",
"postal_code": "210934615",
"telephone_number": "443-416-8916"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FEDELE",
"first_name": "KATHIE",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-28",
"last_updated": "2017-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MD",
"license": "16626",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lutherville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.