Individual provider Active NPI

Traci Elizabeth Antes, MSN, RN, CPN, CPNPAC

  • Critical Care Pediatric Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1447672308
Registry record updated Jan 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Pediatric Nurse PractitionerTaxonomy code 363LP0222X
License
R208920 Issued in MD
Practice address
1800 New Orleans St
Suite 6302
Baltimore, MD 21287-4904
Phone
(404) 432-7273
NPI assigned
Jan 13, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Pediatric Nurse Practitioner 363LP0222X R208920 MD Primary

Addresses

Primary practice location

1800 New Orleans St
Suite 6302
Baltimore, MD 21287-4904

Mailing address

1800 New Orleans St
Suite 6302
Baltimore, MD 21287-4904
Phone (404) 432-7273

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)
Enrolled
Credentials
Certified Registered Nurse, Master of Science - Nursing, Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1389571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389571200000",
    "number": "1447672308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 NEW ORLEANS ST",
            "address_2": "SUITE 6302",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212874904",
            "telephone_number": "404-432-7273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 NEW ORLEANS ST",
            "address_2": "SUITE 6302",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212874904",
            "telephone_number": "404-432-7273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTES",
        "first_name": "TRACI",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "MSN, RN, CPN, CPNPAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-13",
        "last_updated": "2014-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0222X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics, Critical Care",
            "state": "MD",
            "license": "R208920",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 13, 2014; 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.