Active NPI
Kinderhealth, LLC
- Pediatric Nurse Practitioner
- Baltimore, MD
National Provider Identifier
1396237673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- Legal business name
- KINDERHEALTH, LLC
- Practice address
- 175 W Ostend St Ste 102
Baltimore, MD 21230-3792 - Phone
- (410) 697-5357
- Fax
- (410) 457-9626
- NPI assigned
- Jun 3, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Odunlade Olalere, CRNP
- Title
- Pediatric Nurse Practitioner
- Phone
- (410) 697-5357
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | Primary |
Addresses
Primary practice location
175 W Ostend St Ste 102
Baltimore, MD 21230-3792
Mailing address
175 W Ostend St Ste 102
Baltimore, MD 21230-3792
Phone (410) 697-5357
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 335165300 | Medicaid | MD |
National Provider Directory
National Provider DirectoryLocations
10 W West St
Baltimore, MD 21230
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527984000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1728432000000",
"number": "1396237673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "175 W OSTEND ST STE 102",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212303792",
"telephone_number": "410-697-5357",
"fax_number": "410-457-9626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 W OSTEND ST STE 102",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212303792",
"telephone_number": "410-697-5357",
"fax_number": "410-457-9626"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KINDERHEALTH, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-06-03",
"last_updated": "2024-10-09",
"certification_date": "2024-10-09",
"status": "A",
"authorized_official_last_name": "OLALERE",
"authorized_official_first_name": "ODUNLADE",
"authorized_official_title_or_position": "PEDIATRIC NURSE PRACTITIONER",
"authorized_official_telephone_number": "410-697-5357",
"authorized_official_credential": "CRNP"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "335165300",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.