Individual provider Active NPI

Ally Krannebitter, DNP, FNP-C

  • Adult Medicine Physician
  • Baltimore, MD
National Provider Identifier
1497322515
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
R217012 Issued in MD
Practice address
1903 Lansdowne Rd
Baltimore, MD 21227-1707
Phone
(410) 375-9167
NPI assigned
Jun 8, 2021
Last updated
Nov 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X R217012 MD Primary

Addresses

Primary practice location

1903 Lansdowne Rd
Baltimore, MD 21227-1707

Mailing address

531 Wrights LN
Baltimore, MD 21221-1641
Phone (443) 717-2302

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address aemerso3@jh.edu Direct
Direct Messaging Address aemerso3@jh.edu Direct

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
R217012MDMDAdult Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Haven Health and Wellness PastSince Jun 1, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: aemerso3@jh.edu

Organizations & group practices 1

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": "1623110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1497322515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 WRIGHTS LN",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212211641",
            "telephone_number": "443-717-2302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1903 LANSDOWNE RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212271707",
            "telephone_number": "410-375-9167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRANNEBITTER",
        "first_name": "ALLY",
        "credential": "DNP, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-08",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "MD",
            "license": "R217012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aemerso3@jh.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "531 Wrights Ln",
            "city": "Essex",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212211641",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aemerso3@jh.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "531 Wrights Ln",
            "city": "Essex",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212211641",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Nov 5, 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.

Verify at the official NPI Registry.