NPIMap

Individual provider Active NPI

Kristine M Pietsch, CCC-SLP

  • Speech-Language Pathologist
  • Baltimore, MD
National Provider Identifier
1922300862
Registry record updated Dec 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
06477 Issued in MD
Practice address
601 N Caroline St
Baltimore, MD 21287-0005
Phone
(410) 955-5000
NPI assigned
Nov 29, 2010
Last updated
Dec 5, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 06477 MD Primary

Addresses

Primary practice location

601 N Caroline St
Baltimore, MD 21287-0005

Mailing address

PO Box 64588
Baltimore, MD 21264-4588

Other identifiers 1

IdentifierTypeStateIssuer
051198600MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20111108000048 DC Practitioner - Qualified Speech Language Pathologist 0840463881 Reassigns benefits to 1 organization
I20120312000370 MD Practitioner - Qualified Speech Language Pathologist 0840463881 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Johns Hopkins UniversityGroup PAC ID 1052223229, 196 clinicians
Johns Hopkins UniversityGroup PAC ID 4981745098, 711 clinicians

Practice addresses (Care Compare)

10803 Falls Rd
Lutherville, MD 21093-4502
Phone (410) 583-2665

600 N Wolfe St Jhoc 6TH Floor
Jhu Oto/SLP
Baltimore, MD 21287-0005
Phone (410) 955-9397

6420 Rockledge Dr
Bethesda, MD 20817-7837
Phone (301) 896-6717

Merit-based Incentive Payment System (MIPS)

Final score
83.31 of 100Reported as group
Quality
73.89
Promoting interoperability
100
Improvement activities
40
Cost
70.47

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
06477MDMDOccupational Therapist
06792MDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins University CurrentSince Mar 1, 2012 Accepting new patients
Johns Hopkins University Speech-Language Pathologist CurrentSince Mar 1, 2012 Accepting new patients
Johns Hopkins University CurrentSince Nov 1, 2017 Accepting new patients

Locations

600 N Wolfe St
#6T
Baltimore, MD 21287
Phone (410) 955-9397

601 N Caroline St
Baltimore, MD 21287
Phone (410) 955-5080

8600 Old Georgetown Rd
Bethesda, MD 20814
Phone (301) 896-2578

Interoperability endpoints

  • Direct secure messaging: kteets38869@direct.hopkinsmedicine.org

Organizations & group practices 4

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": "1290988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480896000000",
    "number": "1922300862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64588",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212644588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 N CAROLINE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212870005",
            "telephone_number": "410-955-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIETSCH",
        "first_name": "KRISTINE",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-29",
        "last_updated": "2016-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "06477",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051198600",
            "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 Dec 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.