Individual provider Active NPI

Priyanka Yashwant Kathrotiya, NNP-BC

  • Neonatal Nurse Practitioner
  • Cooksville, MD
National Provider Identifier
1578173449
Registry record updated Aug 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal Nurse PractitionerTaxonomy code 363LN0000X
License
R222969 Issued in MD
Practice address
14300 Fox Creek CT
Cooksville, MD 21723-9613
Phone
(240) 593-2463
NPI assigned
Aug 5, 2020
Last updated
Aug 5, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal Nurse Practitioner 363LN0000X R222969 MD Primary

Addresses

Primary practice location

14300 Fox Creek CT
Cooksville, MD 21723-9613

Mailing address

14300 Fox Creek CT
Cooksville, MD 21723-9613
Phone (240) 593-2463

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
R222969MDMDNeonatal Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: pkathrotiya86548@direct.mdmercy.com

NPI Registry JSON

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

{
    "created_epoch": "1596585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596585600000",
    "number": "1578173449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14300 FOX CREEK CT",
            "city": "COOKSVILLE",
            "state": "MD",
            "postal_code": "217239613",
            "telephone_number": "240-593-2463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14300 FOX CREEK CT",
            "city": "COOKSVILLE",
            "state": "MD",
            "postal_code": "217239613",
            "telephone_number": "240-593-2463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATHROTIYA",
        "first_name": "PRIYANKA",
        "middle_name": "YASHWANT",
        "credential": "NNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-05",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "MD",
            "license": "R222969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cooksville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2020; 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.