Eka Clarissa Stracke, NURSE PRACTITIONER

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

R214831 Issued in MD

Practice address

600 E Belvedere Ave Ste B
Baltimore, MD 21212-3713

Phone

(410) 427-5140

Fax

(410) 825-5819

NPI assigned

Feb 8, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ethomas135273@direct.umm.edu

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.

• University of Maryland Pediatric Associates, PA

  • Pediatrics Physician
  • Baltimore, MD
  • NPI 1528163912
  Medicare reassignment NPD
• University of Maryland Pediatric Assoc PA

  • Pediatric Allergy/Immunology Physician
  • Baltimore, MD
  • NPI 1912002320
  NPD
• University of Maryland Pediatric Associates, PA

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baltimore, MD
  • NPI 1083933444

  Pediatrics

  NPD
• Janis Lacovara, M.D.

  • Pediatrics Physician
  • Baltimore, MD
  • NPI 1033391446
  NPD (past)

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

{
    "created_epoch": "1644278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671494400000",
    "number": "1497409585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1413 GOODWOOD AVE",
            "city": "ESSEX",
            "state": "MD",
            "postal_code": "212216015",
            "telephone_number": "443-992-1754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E BELVEDERE AVE STE B",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212123713",
            "telephone_number": "410-427-5140",
            "fax_number": "410-825-5819"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1413 Goodwood Ave",
            "address_purpose": "LOCATION",
            "city": "Essex",
            "state": "MD",
            "postal_code": "212216015",
            "country_code": "US",
            "telephone_number": "443-992-1754",
            "fax_number": "410-574-4250",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7505 Osler Dr Ste 207",
            "address_purpose": "LOCATION",
            "city": "Towson",
            "state": "MD",
            "postal_code": "212047737",
            "country_code": "US",
            "telephone_number": "667-214-2880",
            "fax_number": "410-337-0425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STRACKE",
        "first_name": "EKA",
        "middle_name": "CLARISSA",
        "name_prefix": "Mrs.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-08",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MD",
            "license": "R214831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Stout, LMSW
• Victoria Stoute, PT, DPT
• Jerria Stover
• Angel Dawn Stowell, RN
• Jared Alexander Stowers, MD
• Diane Emily Strader-Whitney, LCSW-C
• Straight From the Heart Home Care Solutions
• Eric Strain, M.D.
• Francis X Strain, M.D.
• James Bruce Strait III, MD, PH.D.

• Pediatric Nurse Practitioner in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Pediatric Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.