Individual provider Active NPI

Brittany Johnson Krautheim, CNM, WHNP-BC

  • Women's Health Nurse Practitioner
  • Cambridge, MD
National Provider Identifier
1376985937
Registry record updated Sep 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
R198499 Issued in MD
Practice address
503 A Muir St
Cambridge, MD 21613-1848
Phone
(410) 228-4045
Fax
(410) 221-6457
NPI assigned
Jul 24, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X AC001206 MD
Women's Health Nurse Practitioner 363LW0102X R198499 MD Primary

Addresses

Primary practice location

503 A Muir St
Cambridge, MD 21613-1848

Mailing address

301 Randolph St
PO Box 660
Denton, MD 21629-0660
Phone (410) 479-4306

Other names 1

  • Brittany Ann Johnson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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 1

Enrollment IDStateProvider typePAC IDDetails
I20131106001187 MD Practitioner - Nurse Practitioner 9638304264 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AC001206MDMDWomen's Health Nurse Practitioner
R198499MDMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Community Medical Group, Inc. CurrentSince Jun 18, 2016 Accepting new patients
University of Maryland Community Medical Group, Inc. CurrentSince Jun 18, 2016 Accepting new patients

Locations

2540 Centreville Rd
Centreville, MD 21617
Phone (410) 758-4432

301 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 787-4565

Organizations & group practices 2

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": "1374624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441756800000",
    "number": "1376985937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 RANDOLPH ST",
            "address_2": "PO BOX 660",
            "city": "DENTON",
            "state": "MD",
            "postal_code": "216290660",
            "telephone_number": "410-479-4306",
            "fax_number": "410-479-1714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 A MUIR ST",
            "city": "CAMBRIDGE",
            "state": "MD",
            "postal_code": "216131848",
            "telephone_number": "410-228-4045",
            "fax_number": "410-221-6457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAUTHEIM",
        "first_name": "BRITTANY",
        "middle_name": "JOHNSON",
        "credential": "CNM, WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-24",
        "last_updated": "2015-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MD",
            "license": "AC001206",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MD",
            "license": "R198499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRITTANY",
            "last_name": "JOHNSON",
            "middle_name": "ANN",
            "credential": "CNM, WHNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cambridge, MD

Sources for this page

Verify at the official NPI Registry.