Judith Andrea Anderson – Pediatric Nurse Practitioner

Key facts

NPI: 1992138648
Entity type: Individual (NPI type 1)
Primary specialty: Pediatric Nurse Practitioner 363LP0200X
License: R191504 (MD)
Practice address: 345 Saint Paul St
Baltimore, MD 21202-2123
Phone: (410) 332-9000
NPI assigned: Aug 16, 2013
Sex: Female
Sole proprietor: No

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 and National Provider Directory roles.

Sinai Hospital of Baltimore Inc Surgical Critical Care Physician · Baltimore, MD · NPI 1043235666

Medicare reassignment NPD MD
Maryland Family Care, Inc. Family Medicine Physician · Baltimore, MD · NPI 1598718256

Medicare reassignment MD
Sinai Hospital of Baltimore Inc Rheumatology Physician · Baltimore, MD · NPI 1124043757

NPD
Sinai Hospital of Baltimore, Inc. General Acute Care Hospital · Baltimore, MD · NPI 1285672204

NPD
Frederick Health Hospital Inc General Acute Care Hospital · Frederick, MD · NPI 1538165527

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Enrolled in MD
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20140508001838	MD	Practitioner - Nurse Practitioner	7810120243	Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Nurse Practitioner

Practice roles

Organization	Status	New patients
Sinai Hospital of Baltimore Inc	Current since Sep 23, 2024	Accepting new patients
Sinai Hospital of Baltimore Inc	Current	Accepting new patients
Sinai Hospital of Baltimore, Inc.	Current since Sep 23, 2024	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

Direct secure messaging: janderson92963@direct.mdmercy.com

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Pediatric Nurse Practitioner	363LP0200X	R191504	MD	Yes

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

Ms. Judith Andrea Holt Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 27, 2022.

{
    "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

All providers in Baltimore, MD · Pediatric Nurse Practitioner in Maryland

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 27, 2022. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.