Individual provider Active NPI

Jody K. Roblyer, CRNP-P

  • Pediatric Adolescent Medicine Physician
  • Baltimore, MD
National Provider Identifier
1649247271
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
R064430 Issued in MD
Practice address
8600 Lasalle Rd
Potomac Building Suite 105
Baltimore, MD 21286-2001
Phone
(410) 823-5232
Fax
(410) 296-0257
NPI assigned
Mar 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine Physician 2080A0000X R064430 MD Primary

Addresses

Primary practice location

8600 Lasalle Rd
Potomac Building Suite 105
Baltimore, MD 21286-2001

Mailing address

8600 Lasalle Rd
Potomac Building Suite 105
Baltimore, MD 21286-2001
Phone (410) 823-5232

Other identifiers 1

IdentifierTypeStateIssuer
N43328OtherMDCDS

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R064430MDMDPediatric Adolescent Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Partners LLC Adolescent Medicine CurrentSince Mar 4, 2009 Accepting new patients

Locations

8600 La Salle Rd
Towson, MD 21286
Phone (410) 465-4111

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": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1649247271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8600 LASALLE RD",
            "address_2": "POTOMAC BUILDING SUITE 105",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212862001",
            "telephone_number": "410-823-5232",
            "fax_number": "410-296-0257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8600 LASALLE RD",
            "address_2": "POTOMAC BUILDING SUITE 105",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212862001",
            "telephone_number": "410-823-5232",
            "fax_number": "410-296-0257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBLYER",
        "first_name": "JODY",
        "middle_name": "K.",
        "credential": "CRNP-P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-02",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "MD",
            "license": "R064430",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDS",
            "identifier": "N43328",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "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 Jul 13, 2026; 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.