Active NPI
Bridget Queral, MSN, RN, CPNP
- Pediatric Nurse Practitioner
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- R264318
- Practice address
- 9512 Harford Rd Ste 201
Baltimore, MD 21234-3125 - Phone
- (667) 310-2286
- NPI assigned
- Mar 28, 2024
- Last updated
- Mar 28, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 383605 | NY | |
| Pediatric Nurse Practitioner | 363LP0200X | R264318 | MD | Primary |
| Registered Nurse | 163W00000X | R264318 | MD | |
| Registered Nurse | 163W00000X | 741136 | NY |
Addresses
Primary practice location
9512 Harford Rd Ste 201
Baltimore, MD 21234-3125
Mailing address
9512 Harford Rd Ste 201
Baltimore, MD 21234-3125
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Pediatric Nurse Practitioner, Master of Science - Nursing, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 741136 | NY | MD | Registered Nurse |
| R264318 | MD | MD | Pediatric Nurse Practitioner |
| 383605 | NY | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Johns Hopkins University | Current | Accepting new patients | |
| Johns Hopkins University | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Johns Hopkins University | Current | Accepting new patients | |
| Kennedy Krieger Associates | Past | Accepting new patients |
Locations
3007 Tilden St NW
Ste 5N
Washington, DC 20008
29955 Three Notch Rd
Ste 100
Charlotte Hall, MD 20622
Phone (301) 290-5300
1406 Crain Hwy S
Glen Burnie, MD 21061
Phone (410) 768-6440
9512 Harford Rd
Ste 201
Parkville, MD 21234
Phone (410) 882-0600
10755 Falls Rd
Timonium, MD 21093
Phone (410) 583-2727
Interoperability endpoints
- bqueral45712@direct.kennedykrieger.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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1711584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711584000000",
"number": "1760233738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9512 HARFORD RD STE 201",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212343125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9512 HARFORD RD STE 201",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212343125",
"telephone_number": "667-310-2286"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUERAL",
"first_name": "BRIDGET",
"credential": "MSN, RN, CPNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-03-28",
"last_updated": "2024-03-28",
"certification_date": "2024-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "NY",
"license": "383605",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "MD",
"license": "R264318",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MD",
"license": "R264318",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "741136",
"primary": false
}
],
"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 Mar 28, 2024; 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.