Individual provider Active NPI

Joan Kariuki, CRNP

  • Family Nurse Practitioner
  • Edgewood, MD
National Provider Identifier
1295385870
Registry record updated Dec 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R205509 Issued in MD
Practice address
1952 Pulaski Hwy
Edgewood, MD 21040-1658
Phone
(410) 676-1463
Fax
(410) 676-0864
NPI assigned
Sep 16, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R205509 MD Primary

Addresses

Primary practice location

1952 Pulaski Hwy
Edgewood, MD 21040-1658

Mailing address

1952 Pulaski Hwy
Edgewood, MD 21040-1658
Phone (410) 676-1463

Other practice location 1

9904 Berliner Pl Apt I
Middle River, MD 21220-2672
Phone (410) 865-9995

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, CO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200108000978 MD Practitioner - Nurse Practitioner 5092140681 Reassigns benefits to 1 organization
I20250224000298 CO Practitioner - Nurse Practitioner 5092140681 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nova Interventional Pain ManagementGroup PAC ID 0840391728, 4 clinicians

Practice addresses (Care Compare)

1952 Pulaski Hwy
Edgewood, MD 21040-1658
Phone (410) 676-1463

2017 E Bijou St
Colorado Springs, CO 80909-5818
Phone (443) 417-0377

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nova Interventional Pain Management CurrentSince Nov 25, 2019 Accepting new patients

Locations

2017 E Bijou St
Colorado Springs, CO 80909
Phone (410) 676-1463

1952A Pulaski Hwy
Edgewood, MD 21040
Phone (410) 538-7000

1952 Pulaski Hwy
Ste B
Edgewood, MD 21040
Phone (410) 676-1463

9110 Philadelphia Rd
Ste 106
Rosedale, MD 21237
Phone (410) 682-8700

Interoperability endpoints

  • Direct secure messaging: joan.kariuki.1@17629.direct.athenahealth.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1568592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576108800000",
    "number": "1295385870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1952 PULASKI HWY",
            "city": "EDGEWOOD",
            "state": "MD",
            "postal_code": "210401658",
            "telephone_number": "410-676-1463",
            "fax_number": "410-676-0864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1952 PULASKI HWY",
            "city": "EDGEWOOD",
            "state": "MD",
            "postal_code": "210401658",
            "telephone_number": "410-676-1463",
            "fax_number": "410-676-0864"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9904 Berliner Pl Apt I",
            "address_purpose": "LOCATION",
            "city": "Middle River",
            "state": "MD",
            "postal_code": "212202672",
            "country_code": "US",
            "telephone_number": "410-865-9995",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KARIUKI",
        "first_name": "JOAN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-16",
        "last_updated": "2019-12-12",
        "certification_date": "2019-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R205509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edgewood, MD

Sources for this page

Verify at the official NPI Registry.