Individual provider Active NPI

Sarah Caitlin Doerrer, CPNP

  • Pediatric Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1730485988
Registry record updated Feb 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
R165994 Issued in MD
Practice address
801 N Broadway
Baltimore, MD 21205-1424
Phone
(443) 923-3240
NPI assigned
Feb 7, 2011
Last updated
Feb 5, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X R165994 MD Primary

Addresses

Primary practice location

801 N Broadway
Baltimore, MD 21205-1424

Mailing address

600 N. Wolfe St
Meyer 2-147
Baltimore, MD 21287-7247
Phone (410) 502-0968

Other names 1

  • Ms. Sarah Caitlin Smith 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
I20120202000610 MD Practitioner - Nurse Practitioner 5092972000 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Pediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins University CurrentSince Jan 3, 2012 Accepting new patients
Johns Hopkins University CurrentSince Jan 3, 2012 Accepting new patients
Kennedy Krieger Associates CurrentSince Oct 19, 2019 Accepting new patients
Kennedy Krieger Associates CurrentSince Oct 19, 2019 Accepting new patients
Johns Hopkins University Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

600 N Wolfe St
Baltimore, MD 21287

600 N Wolfe St
#2147
Baltimore, MD 21287
Phone (410) 955-9100

601 N Caroline St
Fl 5
Baltimore, MD 21287
Phone (410) 516-8000

707 N Broadway
Baltimore, MD 21205
Phone (443) 923-1870

801 N Broadway
Baltimore, MD 21205
Phone (443) 923-2600

Interoperability endpoints

  • Direct secure messaging: sdoerrer13408@direct.hopkinsmedicine.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1297036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580860800000",
    "number": "1730485988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N. WOLFE ST",
            "address_2": "MEYER 2-147",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212877247",
            "telephone_number": "410-502-0968",
            "fax_number": "410-614-0373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 N BROADWAY",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212051424",
            "telephone_number": "443-923-3240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOERRER",
        "first_name": "SARAH",
        "middle_name": "CAITLIN",
        "name_prefix": "Ms.",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-07",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MD",
            "license": "R165994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "SMITH",
            "middle_name": "CAITLIN",
            "prefix": "MS.",
            "credential": "CPNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.