KIM DRUCIS (NPI# 1639525108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639525108 |
| Entity Type | Individual |
| Full Name | KIM DRUCIS |
| Credential | CRNP |
| Practice Address |
401 N Broadway St Room 1341 Baltimore MD 21287-0019 |
| Mailing Address |
9910 Franklin Square Dr Ste 2110 Baltimore MD 21236-4902 |
| Practice Telephone | 4105020712 |
| Practice Fax Number | 4106146466 |
| Mailing Telephone | 4109336423 |
| Enumeration Date | 2016-05-13 |
| Last Update Date | 2020-02-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
R140888 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
401 N BROADWAY ST ROOM 1341 |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21287-0019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720071459 | Peter Illei | Pathology | 401 N Broadway St, Weinberg Bldg. Rm. 2242, Baltimore, MD 21231-2410 | 2005-08-29 |
| 1780282756 | Laurie Bryant | Clinical Nurse Specialist | 401 N Broadway St, Baltimore, MD 21287-0019 | 2020-10-13 |
| 1881292118 | Alexandra Kaley Hrynda | Nurse Practitioner | 401 N Broadway St, Baltimore, MD 21287-0019 | 2020-10-09 |
| 1558919498 | Brett Ashley Myers | Physician Assistant | 401 N Broadway St, Baltimore, MD 21287-0019 | 2019-09-03 |
| 1679125629 | Kiryoung Kim | Nurse Practitioner | 401 N Broadway St, Baltimore, MD 21287-0019 | 2019-07-10 |
| 1770145054 | Laura Clayton | Nurse Practitioner | 401 N Broadway St, Baltimore, MD 21287-0019 | 2019-07-08 |
| 1427610328 | Cory Ann Schulz | Nurse Practitioner | 401 N Broadway St, Baltimore, MD 21287-0019 | 2019-07-01 |
| 1902463375 | Michael Herman Chui | Pathology | 401 N Broadway St, Baltimore, MD 21287-0019 | 2019-05-21 |
| 1245732320 | Isabel Mackinnon Lobes | Registered Nurse | 401 N Broadway St, Baltimore, MD 21287-0019 | 2018-03-05 |
| 1801334651 | Rachel Klein | Nurse Practitioner | 401 N Broadway St, Baltimore, MD 21287-0019 | 2017-02-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174140503 | Thomas Dimitrios Zaikos | Student in an Organized Health Care Education/Training Program | Pathology Building Rm. 401, 600 N. Wolfe Street, Baltimore, MD 21287 | 2020-07-01 |
| 1316572175 | Sarah Branigan | Pediatrics | Johns Hopkins Children's Center, 1800 Orleans Street, Baltimore, MD 21287 | 2020-03-11 |
| 1790318657 | Margaret Geraldine Keane | Internal Medicine | Sheikh Zayed Tower, 1800 Orleans St, Baltimore, MD 21287 | 2020-02-19 |
| 1699322636 | Lakeya Mcgill | Student in an Organized Health Care Education/Training Program | 600 North Wolfe St, Phipps 174, Baltimore, MD 21287 | 2019-08-23 |
| 1245882406 | Ranim Amer Ibrahim Alsaad | Student in an Organized Health Care Education/Training Program | 1800 Orleans Street - Johns Hopkins Hospital, Tower 110, Baltimore, MD 21287 | 2019-07-09 |
| 1992364004 | Anthony David Pisaniello | Student in an Organized Health Care Education/Training Program | 1800 Orleans St, Johns Hopkins Hospital, Baltimore, MD 21287 | 2019-06-12 |
| 1255990503 | Ethan Tumarkin | Student in an Organized Health Care Education/Training Program | 600 N. Wolfe St./halsted 500, Baltimore, MD 21287 | 2019-06-11 |
| 1629636386 | Kathleen Anne Malloy | Counselor | Jhh 600 N. Wolfe St., Cpp- Meyer 144, Baltimore, MD 21287 | 2019-05-29 |
| 1285298489 | Ashleigh Graham | Student in an Organized Health Care Education/Training Program | Pathology Building, Rm 401, 600 N. Wolfe Street, Baltimore, MD 21287 | 2019-04-24 |
| 1851955066 | Seena Tabibi | Student in an Organized Health Care Education/Training Program | Pathology Department Johns Hopkins University Som, Pathology Building Rm 401, 600 North Wolfe Street, Baltimore, MD 21287 | 2019-04-24 |
| Find all providers in zip 21287 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003420282 | Mary Claire Perry | Nurse Practitioner | 737 W Lombard St Ste 314, Baltimore, MD 21201-1009 | 2020-09-03 |
| 1629563879 | Ashley C Sayles | Nurse Practitioner | 5601 Loch Raven Blvd Ste 200, Baltimore, MD 21239 | 2018-06-28 |
| 1396237673 | Kinderhealth, LLC | Nurse Practitioner | 10 W West St, Baltimore, MD 21230 | 2018-06-03 |
| 1306378120 | Teddi Roseman | Nurse Practitioner | 22 S Greene St Rm N5e16, Baltimore, MD 21201-1544 | 2017-03-30 |
| 1295280873 | Sarah Schlotterbeck Perl | Nurse Practitioner | 6711 Evanston Rd, Baltimore, MD 21209-3865 | 2016-08-24 |
| 1710333448 | Rachel Levy | Nurse Practitioner | 7010 Wallis Ave, Baltimore, MD 21215-1711 | 2016-05-12 |
| 1427425875 | Bernadette Russell | Nurse Practitioner | 1213 Harbor Island Walk, Baltimore, MD 21230-5461 | 2015-09-01 |
| 1750766879 | Laura Gertz | Nurse Practitioner | 1400 Orleans St, Baltimore, MD 21231-1021 | 2015-07-30 |
| 1336520402 | Clifton Peter Thornton | Nurse Practitioner | 1800 Orleans St Rm 11356, Baltimore, MD 21287-0010 | 2015-06-15 |
| 1295131332 | Erin Sherman | Nurse Practitioner | 306 Murdock Rd, Baltimore, MD 21212-1825 | 2014-11-18 |
| Find all providers in BALTIMORE | ||||
Please comment or provide details below to improve the information on KIM DRUCIS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.