Active NPI
Judith Andrea Anderson, C.R.N.P.
- Pediatric Nurse Practitioner
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- R191504
- Practice address
- 345 Saint Paul St
Baltimore, MD 21202-2123 - Phone
- (410) 332-9000
- NPI assigned
- Aug 16, 2013
- Last updated
- Jul 27, 2022
- 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | R191504 | MD | Primary |
Addresses
Primary practice location
345 Saint Paul St
Baltimore, MD 21202-2123
Mailing address
740 Mallard Dr
Deale, MD 20751-2200
Phone (301) 758-1227
Other practice location 1
1001 Pine Heights Ave
Suite 202
Baltimore, MD 21229-5208
Phone (410) 646-4009
Other names 1
- Ms. Judith Andrea Holt
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sinai Hospital of Baltimore Inc | Current | Accepting new patients | |
| Sinai Hospital of Baltimore Inc | Current | Accepting new patients | |
| Sinai Hospital of Baltimore, Inc. | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
2411 W Belvedere Ave
Ste 205
Baltimore, MD 21215
Phone (410) 601-8331
2435 W Belvedere Ave
Baltimore, MD 21215
Phone (410) 601-0900
Interoperability endpoints
- janderson92963@direct.mdmercy.com
Organizations & group practices 5
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.
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- NPI 1598718256
-
- Rheumatology Physician
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-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1285672204
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658880000000",
"number": "1992138648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "740 MALLARD DR",
"city": "DEALE",
"state": "MD",
"postal_code": "207512200",
"telephone_number": "301-758-1227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "345 SAINT PAUL ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212022123",
"telephone_number": "410-332-9000"
}
],
"practiceLocations": [
{
"address_1": "1001 Pine Heights Ave",
"address_2": "Suite 202",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212295208",
"country_code": "US",
"telephone_number": "410-646-4009",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANDERSON",
"first_name": "JUDITH",
"middle_name": "ANDREA",
"name_prefix": "Mrs.",
"credential": "C.R.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-16",
"last_updated": "2022-07-27",
"certification_date": "2022-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "MD",
"license": "R191504",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JUDITH",
"last_name": "HOLT",
"middle_name": "ANDREA",
"prefix": "MS.",
"credential": "C.R.N.P.",
"code": "1",
"type": "Former Name"
}
]
}
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 Jul 27, 2022; 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.