Caroline Van Voorhis

Key facts

NPI

1386110666

Entity type

Individual (NPI type 1)

Primary specialty

Pediatric Nurse Practitioner 363LP0200X

License

AC002473 (MD)

Practice address

18310 Montgomery Village Ave Ste 460
Gaithersburg, MD 20879-3565

Phone

(301) 977-4100

NPI assigned

Oct 15, 2018

Sex

Female

Sole proprietor

Yes

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.

• White Oak Pediatrics DRS Battiata & Impeduglia PA Pediatrics Physician · Gaithersburg, MD · NPI 1497564009
  NPD (past)
• White Oak Pediatrics, DRS. Battiata & Impeduglia, P.a. Pediatrics Physician · Millersville, MD · NPI 1356715239
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Credentials

Master of Science - Nursing

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: caroline.vanvoorhis@wopmd.eclinicaldirectplus.com

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 15, 2018.

{
    "created_epoch": "1539561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539561600000",
    "number": "1386110666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 MASSACHUSETTS AVE NW APT 907",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200012689",
            "telephone_number": "319-621-7935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18310 MONTGOMERY VILLAGE AVE STE 460",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208793565",
            "telephone_number": "301-977-4100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11161 New Hampshire Ave Ste 301",
            "address_purpose": "LOCATION",
            "city": "Silver Spring",
            "state": "MD",
            "postal_code": "209042606",
            "country_code": "US",
            "telephone_number": "301-681-7101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAN VOORHIS",
        "first_name": "CAROLINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-15",
        "last_updated": "2018-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MD",
            "license": "AC002473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Gaithersburg, MD · Pediatric Nurse Practitioner in Maryland