Individual provider Active NPI

Katherine L Rediger, CRNP

  • Family Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1679829097
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R167803 Issued in MD
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

Updated by the provider on Jul 21, 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 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 Former name

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
I20150819008553 MD Practitioner - Nurse Practitioner 4688989627 Reassigns benefits to 4 organizations

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, IncGroup PAC ID 1456452382, shared by 3 NPIs, 21 clinicians

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

LicenseStateTypeSpecialty
R167803MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Eating Disorders PA CurrentSince Oct 21, 2024 Accepting new patients
Johns Hopkins Community Physicians, Inc CurrentSince Aug 3, 2015 Accepting new patients
Upper Chesapeake Medical Services, Inc CurrentSince Jun 26, 2022 Accepting new patients
Johns Hopkins Community Physicians, Inc Current Accepting new patients
Harford Crisis Center, Inc. CurrentSince Jun 26, 2022 Accepting new patients
Johns Hopkins Community Physicians CurrentSince Aug 3, 2015 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

  • Direct secure messaging: katherine.rediger.1@23840.direct.athenahealth.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.