Jessica Kathleen Balthazar, RN

Primary specialty

Critical Care Medicine Registered NurseTaxonomy code 163WC0200X

License

0001316237 Issued in VA

Practice address

655 W Lombard St
Baltimore, MD 21201-1512

Phone

(410) 706-0501

NPI assigned

Jun 9, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1749427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1972498335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 FAIRFAX DR UNIT 1300",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222031687",
            "telephone_number": "631-617-7371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 W LOMBARD ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011512",
            "telephone_number": "410-706-0501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALTHAZAR",
        "first_name": "JESSICA",
        "middle_name": "KATHLEEN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-09",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "VA",
            "license": "0001316237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachariah Balsam
• Alexandra Balshi, MD
• Panayiotis A. Baltatzis, M.D.
• Remedios P Baltazar, M.D.
• Romulo F Baltazar, M.D.
• Alisa Balthrop
• Baltimore Acupuncture LLC
• Baltimore Adult Medical Day Care
• Baltimore Adult Medical Day Center, LLC
• Baltimore Ambulatory Center for Endoscopy

• Critical Care Medicine Registered Nurse in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Critical Care Medicine Registered Nurse in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2025; 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.