Individual provider Active NPI

Kearen Jabaji, MSN, CRNP-PEDS

  • Pediatric Nurse Practitioner
  • Towson, MD
National Provider Identifier
1508310079
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
NP145458 Issued in MD
Practice address
105 W Chesapeake Ave FL 3
Towson, MD 21204-4725
Phone
(443) 809-6468
NPI assigned
Aug 12, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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 NP145458 MD Primary

Addresses

Primary practice location

105 W Chesapeake Ave FL 3
Towson, MD 21204-4725

Mailing address

105 W Chesapeake Ave FL 3
Towson, MD 21204-4725
Phone (443) 809-6368

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
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
NP145458MDMDPediatric Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1470960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1508310079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 W CHESAPEAKE AVE FL 3",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212044725",
            "telephone_number": "443-809-6368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 W CHESAPEAKE AVE FL 3",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212044725",
            "telephone_number": "443-809-6468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JABAJI",
        "first_name": "KEAREN",
        "name_prefix": "Mrs.",
        "credential": "MSN, CRNP-PEDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-12",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MD",
            "license": "NP145458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; 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.