NPIMap

Individual provider Active NPI

Teresa Ashley Krosnick, PA-C

  • Medical Physician Assistant
  • Baltimore, MD
National Provider Identifier
1669420170
Registry record updated Apr 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
C0001904 Issued in MD
Practice address
Johns Hopkins Hospital Wilmer 600 N Wolfe St
Wilmer 340
Baltimore, MD 21287-0001
Phone
(410) 955-5730
Fax
(410) 614-0316
NPI assigned
May 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X C0001904 MD Primary

Addresses

Primary practice location

Johns Hopkins Hospital Wilmer 600 N Wolfe St
Wilmer 340
Baltimore, MD 21287-0001

Mailing address

Johns Hopkins Hospital Wilmer 600 N Wolfe St
Wilmer 340
Baltimore, MD 21287-0001
Phone (410) 955-5730

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
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Delphi Healthcare Partners of Maryland LLC Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Organizations & group practices 2

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": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303948800000",
    "number": "1669420170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "JOHNS HOPKINS HOSPITAL WILMER 600 N WOLFE ST",
            "address_2": "WILMER 340",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212870001",
            "telephone_number": "410-955-5730",
            "fax_number": "410-614-0316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "JOHNS HOPKINS HOSPITAL WILMER 600 N WOLFE ST",
            "address_2": "WILMER 340",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212870001",
            "telephone_number": "410-955-5730",
            "fax_number": "410-614-0316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROSNICK",
        "first_name": "TERESA",
        "middle_name": "ASHLEY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-05",
        "last_updated": "2011-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MD",
            "license": "C0001904",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 28, 2011; 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.