Individual provider Active NPI

Kristen M Seabrease, NP

  • Adult Health Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1790085744
Registry record updated Mar 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
R170281 Issued in MD
Practice address
3601 Odonnell St
Baltimore, MD 21224-5238
Phone
(443) 618-6137
NPI assigned
Oct 25, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X R170281 MD Primary
Gerontology Nurse Practitioner 363LG0600X R170281 MD

Addresses

Primary practice location

3601 Odonnell St
Baltimore, MD 21224-5238

Mailing address

8415 Tally Ho Rd
Lutherville, MD 21093-4725
Phone (443) 467-9377

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
I20130702000124 MD Practitioner - Nurse Practitioner 3173763976 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R170281MDMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Evernorth Care Providers - Delaware PA CurrentSince Feb 24, 2024 Accepting new patients
Evernorth Care Providers - Delaware PA CurrentSince Feb 24, 2024 Accepting new patients

Locations

145 W Ostend St
Ste 600
Baltimore, MD 21230
Phone (240) 542-8509

111 S Calvert St
Ste 1600
Baltimore, MD 21202
Phone (312) 292-4800

730 Cool Springs Blvd
Ste 500
Franklin, TN 37067

Interoperability endpoints

  • Direct secure messaging: kseabrease29047@evernorth.direct-ci.com
  • Direct secure messaging: kristen.seabrease.p1@direct.alegiscare.nextgenshare.com
  • Direct secure messaging: kristen.seabrease.p2@direct.alegiscare.nextgenshare.com

Organizations & group practices 2

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": "1287964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489104000000",
    "number": "1790085744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8415 TALLY HO RD",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210934725",
            "telephone_number": "443-467-9377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 ODONNELL ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212245238",
            "telephone_number": "443-618-6137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEABREASE",
        "first_name": "KRISTEN",
        "middle_name": "M",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-25",
        "last_updated": "2017-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MD",
            "license": "R170281",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MD",
            "license": "R170281",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.