Individual provider Active NPI

Kinnari Darji, CRNP

  • Family Nurse Practitioner
  • Pasadena, MD
National Provider Identifier
1629669387
Registry record updated Mar 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F08200154 Issued in MD
Practice address
8028 Ritchie Hwy Ste 210B
Pasadena, MD 21122-1059
Phone
(410) 766-1995
NPI assigned
Jan 26, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F08200154 MD Primary

Addresses

Primary practice location

8028 Ritchie Hwy Ste 210B
Pasadena, MD 21122-1059

Mailing address

8028 Ritchie Hwy Ste 210B
Pasadena, MD 21122-1059
Phone (410) 766-1995

Other practice location 1

6014 Valentine Way
Hanover, MD 21076-2362
Phone (570) 809-4334

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
I20210602000816 MD Practitioner - Nurse Practitioner 5698174266 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F08200154MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Health Practice Partners LLC CurrentSince Jun 1, 2021 Accepting new patients

Locations

1046 S Northpoint Rd
Baltimore, MD 21224
Phone (410) 282-0100

8028 Ritchie Hwy
Ste 210B
Pasadena, MD 21122
Phone (410) 342-6644

8028 Ritchie Hwy
Ste 210
Pasadena, MD 21122
Phone (410) 733-3292

5412 Old Court Rd
Randallstown, MD 21133
Phone (410) 922-3200

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1611619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647302400000",
    "number": "1629669387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8028 RITCHIE HWY STE 210B",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211221059",
            "telephone_number": "410-766-1995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8028 RITCHIE HWY STE 210B",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211221059",
            "telephone_number": "410-766-1995"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6014 Valentine Way",
            "address_purpose": "LOCATION",
            "city": "Hanover",
            "state": "MD",
            "postal_code": "210762362",
            "country_code": "US",
            "telephone_number": "570-809-4334",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DARJI",
        "first_name": "KINNARI",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-26",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "F08200154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, MD

Sources for this page

Verify at the official NPI Registry.