Shula Kohengadol, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R207021 Issued in MD

Practice address

6523 Gardenwick Rd
Baltimore, MD 21209-2537

Phone

(310) 598-9839

NPI assigned

Mar 12, 2024

Last updated

May 5, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1710201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714867200000",
    "number": "1780442988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6523 GARDENWICK RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212092537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6523 GARDENWICK RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212092537",
            "telephone_number": "310-598-9839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHENGADOL",
        "first_name": "SHULA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-12",
        "last_updated": "2024-05-05",
        "certification_date": "2024-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R207021",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R207021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony J Koger
• Julia Renee Koger, PA-C
• Mary Elizabeth Kogler-Gladu, PTA
• Marianna Kogut, DPT
• Eugene Koh, MD
• Kristin Alysse Kohler, PA-C
• Margaret Kohler, LCSW-C
• Neha Kohli
• Ruhail Kohli, M.D.
• Sarah Catherine Kohli, LC16216

• Family Nurse Practitioner in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.