Individual provider Active NPI

Christine Kalu

  • Psychiatric/Mental Health Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1427627066
Registry record updated Sep 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R213050 Issued in MD
Practice address
6501 N Charles St
Baltimore, MD 21204-6819
Phone
(410) 938-3000
NPI assigned
Jun 18, 2021
Last updated
Sep 10, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2021

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 R213050 MD Primary

Addresses

Primary practice location

6501 N Charles St
Baltimore, MD 21204-6819

Mailing address

7537 Murray Hill Rd Apt 741
Columbia, MD 21046-1826
Phone (443) 802-0717

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
I20211004002126 MD Practitioner - Nurse Practitioner 6305244401 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11155 Dolfield Blvd
Suite 116
Owings Mills, MD 21117-3289
Phone (240) 324-8849

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R213050MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sheppard Pratt Physicians, P.a. CurrentSince Sep 12, 2021 Accepting new patients
Sound Mind Behavioral Health Psychiatric/Mental Health CurrentSince Jan 4, 2025 Accepting new patients
M&M Behavioral Health Systems Psychiatric/Mental Health CurrentSince Jan 2, 2024 Accepting new patients

Locations

11155 Dolfield Blvd
Ste 116
Owings Mills, MD 21117
Phone (240) 324-8849

22 W Padonia Rd
Ste C252
Timonium, MD 21093
Phone (410) 561-1114

6501 N Charles St
Towson, MD 21204
Phone (410) 938-3000

Interoperability endpoints

  • Direct secure messaging: christine.kalu.1@24284.direct.athenahealth.com

Organizations & group practices 3

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": "1623974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631232000000",
    "number": "1427627066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7537 MURRAY HILL RD APT 741",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210461826",
            "telephone_number": "443-802-0717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 N CHARLES ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212046819",
            "telephone_number": "410-938-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALU",
        "first_name": "CHRISTINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-18",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R213050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.