Individual provider Active NPI

Ricki Danielle Weisbrot, RN

  • Pediatric Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1467020776
Registry record updated Jun 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
R209332 Issued in MD
Practice address
22 S Greene St Ste N5E16
Baltimore, MD 21201-1590
Phone
(410) 328-2808
NPI assigned
Jun 14, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X R209332 MD Primary

Addresses

Primary practice location

22 S Greene St Ste N5E16
Baltimore, MD 21201-1590

Mailing address

7231 Brookfalls Ter
Baltimore, MD 21209-1646

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
I20241022002533 MD Practitioner - Nurse Practitioner 7719419266 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Pediatric Associates, PA CurrentSince Sep 1, 2024 Accepting new patients
University of Maryland Pediatric Associates, PA CurrentSince Jun 22, 2021 Accepting new patients

Locations

22 S Greene St
#N5E16
Baltimore, MD 21201
Phone (410) 328-2808

22 S Greene St
Ste N5E16
Baltimore, MD 21201
Phone (410) 328-2808

22 S Greene St
#N6E16
Baltimore, MD 21201

510 Upper Chesapeake Dr
Ste 509
Bel Air, MD 21014
Phone (667) 214-2400

12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255

7556 Teague Rd
Ste 420
Hanover, MD 21076
Phone (410) 328-6749

1302 Bellona Ave
Lutherville Timonium, MD 21093
Phone (410) 825-6810

Interoperability endpoints

  • Direct secure messaging: rlinkoff320983@direct.umm.edu

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.

NPI Registry JSON

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

{
    "created_epoch": "1623628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655424000000",
    "number": "1467020776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7231 BROOKFALLS TER",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212091646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 S GREENE ST STE N5E16",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011590",
            "telephone_number": "410-328-2808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISBROT",
        "first_name": "RICKI",
        "middle_name": "DANIELLE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-14",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MD",
            "license": "R209332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.