Individual provider Active NPI

Katherine Anne Sutton, CRNP

  • Family Nurse Practitioner
  • Rockville, MD
National Provider Identifier
1356914634
Registry record updated Jul 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R218633 Issued in MD
Practice address
15225 Shady Grove Rd Ste 201
Rockville, MD 20850-3278
Phone
(301) 670-3000
NPI assigned
Jul 23, 2021
Last updated
Jul 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2021

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 R218633 MD Primary

Addresses

Primary practice location

15225 Shady Grove Rd Ste 201
Rockville, MD 20850-3278

Mailing address

1743 Castle Rock Rd
Frederick, MD 21701-9386
Phone (443) 398-6413

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 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
I20211104000026 DC Practitioner - Nurse Practitioner 0941698393 Reassigns benefits to 2 organizations
I20241126002406 MD Practitioner - Nurse Practitioner 0941698393 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
George Washington University School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pain Relief SpecialistsGroup PAC ID 4183029200, 3 clinicians
Chronic Pain Treatment CentersGroup PAC ID 8921230194, 2 clinicians

Practice addresses (Care Compare)

1324 Belmont Ave
Suite 105a
Salisbury, MD 21804-4584
Phone (443) 957-8564

8435 Progress Dr
Suite Ee
Frederick, MD 21701-4981
Phone (301) 624-5390

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Relief Specialists CurrentSince Jul 12, 2025 Accepting new patients
Chronic Pain Treatment Centers CurrentSince Jan 1, 2025 Accepting new patients
Cardiac Associates, P.C. CurrentSince Jul 16, 2021 Accepting new patients
Adventist Physician Services, Inc. CurrentSince Dec 1, 2021 Accepting new patients
Pain Relief Specialists CurrentSince Jul 12, 2025 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

8435 Progress Dr
Ste Ee
Frederick, MD 21701
Phone (301) 624-5390

915 Toll House Ave
Ste 207
Frederick, MD 21701
Phone (240) 367-9601

915 Toll House Ave
Ste 305
Frederick, MD 21701
Phone (301) 620-4200

820 W Diamond Ave
Ste 500
Gaithersburg, MD 20878

15225 Shady Grove Rd
Ste 201
Rockville, MD 20850
Phone (301) 670-3000

9901 Medical Center Dr
Rockville, MD 20850
Phone (301) 279-6000

1324 Belmont Ave
Ste 105A
Salisbury, MD 21804
Phone (443) 957-8564

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1626998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626998400000",
    "number": "1356914634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1743 CASTLE ROCK RD",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217019386",
            "telephone_number": "443-398-6413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15225 SHADY GROVE RD STE 201",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503278",
            "telephone_number": "301-670-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTTON",
        "first_name": "KATHERINE",
        "middle_name": "ANNE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-23",
        "last_updated": "2021-07-23",
        "certification_date": "2021-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R218633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.