Individual provider Active NPI

Caroline Poff, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Halethorpe, MD
National Provider Identifier
1396566725
Registry record updated May 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R215098 Issued in MD
Practice address
428 Gun Rd
Halethorpe, MD 21227-3823
Phone
(443) 668-4441
Fax
(410) 826-3934
NPI assigned
Oct 18, 2024
Last updated
May 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R215098 MD Primary

Addresses

Primary practice location

428 Gun Rd
Halethorpe, MD 21227-3823

Mailing address

6340 Security Blvd Ste 100 #1345
Baltimore, MD 21207

Other practice location 1

6340 Security Blvd Ste 100 #1345
Baltimore, MD 21207
Phone (443) 668-4441

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
R215098MDMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1729209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778198400000",
    "number": "1396566725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6340 SECURITY BLVD STE 100 #1345",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21207",
            "fax_number": "410-826-3934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 GUN RD",
            "city": "HALETHORPE",
            "state": "MD",
            "postal_code": "212273823",
            "telephone_number": "443-668-4441",
            "fax_number": "410-826-3934"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6340 Security Blvd Ste 100 #1345",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "21207",
            "country_code": "US",
            "telephone_number": "443-668-4441",
            "fax_number": "443-826-3934",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POFF",
        "first_name": "CAROLINE",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-18",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R215098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Halethorpe, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.