Active NPI
Kristal Elliston Prather, M.D.
- Pediatrics Physician
- Baltimore, MD
National Provider Identifier
1679816474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- D81391
- Practice address
- The Johns Hopkins Hospital
1800 Orleans Street
Baltimore, MD 21287-0001 - Phone
- (410) 955-2727
- NPI assigned
- Mar 29, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | D81391 | MD | Primary |
Addresses
Primary practice location
The Johns Hopkins Hospital
1800 Orleans Street
Baltimore, MD 21287-0001
Mailing address
1101 Saint Paul St
Apt. 1612
Baltimore, MD 21202-2619
Phone (407) 580-0782
Other names 1
- Kristal Elliston
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130808000388 | MD | Order and Referring Only - Pediatric Medicine | 1557503232 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D81391 | MD | MD | Pediatrics Physician |
Interoperability endpoints
- kprather20886@gbmcdirect.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466812800000",
"number": "1679816474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 SAINT PAUL ST",
"address_2": "APT. 1612",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212022619",
"telephone_number": "407-580-0782"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "THE JOHNS HOPKINS HOSPITAL",
"address_2": "1800 ORLEANS STREET",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212870001",
"telephone_number": "410-955-2727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRATHER",
"first_name": "KRISTAL",
"middle_name": "ELLISTON",
"name_prefix": "Mrs.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-29",
"last_updated": "2016-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MD",
"license": "D81391",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTAL",
"last_name": "ELLISTON",
"code": "1",
"type": "Former Name"
}
]
}
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 Jun 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.