Active NPI
Katherine L Rediger, CRNP
- Family Nurse Practitioner
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R167803
- Practice address
- 1000 E Eager Street
Johns Hopkins Community Physicians
Baltimore, MD 21202 - Phone
- (410) 522-9800
- Fax
- (410) 367-2174
- NPI assigned
- Aug 3, 2012
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R167803 | MD | Primary |
Addresses
Primary practice location
1000 E Eager Street
Johns Hopkins Community Physicians
Baltimore, MD 21202
Mailing address
1000 E Eager Street
Johns Hopkins Community Physicians
Baltimore, MD 21202
Phone (410) 522-9800
Other names 1
- Ms. Katherine L Shockley
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Health Care for the Homeless, Inc
Practice addresses (Care Compare)
421 Fallsway
Baltimore, MD 21202-4800
Phone (410) 837-5533
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R167803 | MD | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Eating Disorders PA | Current | Accepting new patients | |
| Johns Hopkins Community Physicians, Inc | Current | Accepting new patients | |
| Upper Chesapeake Medical Services, Inc | Current | Accepting new patients | |
| Johns Hopkins Community Physicians, Inc | Current | Accepting new patients | |
| Harford Crisis Center, Inc. | Current | Accepting new patients | |
| Johns Hopkins Community Physicians | Current | Accepting new patients | |
| University of Maryland St. Joseph Medical Center, LLC | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
1000 E Eager St
Baltimore, MD 21202
Phone (410) 522-9800
802 Baltimore Pike
#A
Bel Air, MD 21014
Phone (443) 643-2422
500 Upper Chesapeake Dr
Bel Air, MD 21014
Phone (443) 643-1000
101 Schilling Rd
Ste 40A
Hunt Valley, MD 21031
Phone (410) 427-3900
501 S Union Ave
Hvre de Grace, MD 21078
Phone (301) 939-2400
7601 Osler Dr
Towson, MD 21204
Phone (410) 337-1150
Interoperability endpoints
- katherine.rediger.1@23840.direct.athenahealth.com
- kshockley215593@direct.hopkinsmedicine.org
Organizations & group practices 8
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.
-
- Psychiatry Physician
- Hunt Valley, MD
- NPI 1659484400
-
- Psychiatry Physician
- Bel Air, MD
- NPI 1508334459
-
- Internal Medicine Physician
- Baltimore, MD
- NPI 1578598868
-
- Hospitalist Physician
- Bel Air, MD
- NPI 1497801419
-
dba JHCP- 6225 Smith Avenue; Mental Health Therapy
- Clinical Social Worker
- Baltimore, MD
- NPI 1356161806
-
dba JHCP - 195 Thomas Johnson Drive
- Family Medicine Physician
- Baltimore, MD
- NPI 1770518003
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
dba University of Maryland St. Joseph Medical Center
- General Acute Care Hospital
- Towson, MD
- NPI 1124374079
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1679829097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 E EAGER STREET",
"address_2": "JOHNS HOPKINS COMMUNITY PHYSICIANS",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21202",
"telephone_number": "410-522-9800",
"fax_number": "410-367-2174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 E EAGER STREET",
"address_2": "JOHNS HOPKINS COMMUNITY PHYSICIANS",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21202",
"telephone_number": "410-522-9800",
"fax_number": "410-367-2174"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REDIGER",
"first_name": "KATHERINE",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-03",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "R167803",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATHERINE",
"last_name": "SHOCKLEY",
"middle_name": "L",
"prefix": "MS.",
"credential": "CRNP",
"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 Jul 21, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.