Active NPI
Kimberly M Allred, NP
- Nurse Practitioner
- Baltimore, MD
National Provider Identifier
1831158211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- R088204
- Practice address
- 900 Caton Ave
Baltimore, MD 21229 - Phone
- (410) 368-2630
- Fax
- (410) 368-3549
- NPI assigned
- Mar 22, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R088204 | MD | Primary |
Addresses
Primary practice location
900 Caton Ave
Baltimore, MD 21229
Mailing address
PO Box 21182
Baltimore, MD 21228
Phone (410) 368-8640
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 447501100 | Medicaid | MD | |
| W6620088 | Other | DC | CAREFIRST |
| K51954288203 | Other | MD | CAREFIRST |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R088204 | MD | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316649600000",
"number": "1831158211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 21182",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21228",
"telephone_number": "410-368-8640",
"fax_number": "410-368-8644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 CATON AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21229",
"telephone_number": "410-368-2630",
"fax_number": "410-368-3549"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLRED",
"first_name": "KIMBERLY",
"middle_name": "M",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-22",
"last_updated": "2011-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MD",
"license": "R088204",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "447501100",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST",
"identifier": "W6620088",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST",
"identifier": "K51954288203",
"state": "MD"
}
],
"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 Sep 22, 2011; 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.