KENNEDY KRIEGER INSTITUTE (NPI# 1649595141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649595141 |
| Entity Type | Organization |
| Organization Name | KENNEDY KRIEGER INSTITUTE |
| Practice Address |
707 N Broadway Kennedy Krieger Institute Baltimore MD 21205-1832 |
| Mailing Address |
2931 E Biddle St Patient Accounting Helena Porter Baltimore MD 21213-3939 |
| Practice Telephone | 4439239400 |
| Practice Fax Number | 4439239405 |
| Mailing Telephone | 4439231886 |
| Mailing Fax Number | 4439231895 |
| Enumeration Date | 2010-03-29 |
| Last Update Date | 2014-10-14 |
| Authorized Official Name | MR. MICHAEL J NEUMAN (SENIOR VP FINANCE) |
| Authorized Official Telephone | 4439231810 |
| Is Organization Subpart | Y |
| Parent Organization Name | KENNEDY KRIGER CHILDREN'S HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 802 | MD | Laboratories |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730505363 | Kennedy Krieger Institute | Clinic/Center | 1525 Light St, Baltimore, MD 21230-4516 | 2014-03-06 |
| 1699778415 | Kennedy Krieger Institute | Special Hospital | 700 N Broadway, Baltimore, MD 21205-1806 | 2005-05-24 |
| 1710387550 | Kennedy Krieger Institute | Special Hospital | 707 N Broadway, Baltimore, MD 21205-1832 | 2014-08-29 |
| 1619075926 | Kennedy Krieger Institute | Psychiatric Hospital | 707 N Broadway, Baltimore, MD 21205-1832 | 2006-09-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | KENNEDY KRIEGER INSTITUTE, INC. | 707 N Bdwy, Baltimore, MD 21205 |
| Street Address |
707 N BROADWAY KENNEDY KRIEGER INSTITUTE |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21205-1832 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750370235 | Rebecca L Kern | Genetic Counselor, MS | 707 N Broadway, Baltimore, MD 21205-1832 | 2005-10-18 |
| 1841898640 | Rachel Anderson | Speech-Language Pathologist | 707 N Broadway, Baltimore, MD 21205-1832 | 2020-10-14 |
| 1841807070 | Elizabeth Wilkins | Physical Therapist | 707 N Broadway, Baltimore, MD 21205-1832 | 2020-10-01 |
| 1184237554 | Bridget Fulford | Social Worker | 707 N Broadway, Baltimore, MD 21205-1832 | 2020-08-26 |
| 1669085379 | Samuel Joseph Eckrich | Student in an Organized Health Care Education/Training Program | 707 N Broadway, Baltimore, MD 21205-1888 | 2020-08-24 |
| 1356952980 | Catherine Byrne | Student in an Organized Health Care Education/Training Program | 707 N Broadway, Baltimore, MD 21205-1832 | 2020-08-17 |
| 1679183651 | Biji Philip | Speech-Language Pathologist | 707 N Broadway, Baltimore, MD 21205-1832 | 2020-08-05 |
| 1619592565 | Emily Mathis | Student in an Organized Health Care Education/Training Program | 707 N Broadway, Baltimore, MD 21205-1832 | 2020-06-16 |
| 1184249161 | Seungeun Lee | Student in an Organized Health Care Education/Training Program | 707 N Broadway, Baltimore, MD 21205-1832 | 2020-06-15 |
| 1699399493 | Margaret Bernheim Powell | Student in an Organized Health Care Education/Training Program | 707 N Broadway, Baltimore, MD 21205-1832 | 2020-06-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467019034 | Meghna Rajaprakash | Student in an Organized Health Care Education/Training Program | 716 N Broadway, Rm 431, Baltimore, MD 21205 | 2019-05-20 |
| 1871158592 | Rachel Samantha Bronheim | Student in an Organized Health Care Education/Training Program | 610 N Caroline St, 5th Floor, Baltimore, MD 21205 | 2019-05-08 |
| 1700342250 | Ruth Leeanna Williams | Social Worker | 504 N. Caroline Street, Baltimore, MD 21205 | 2019-02-20 |
| 1174017032 | Anna Kathryn Chassevent | Genetic Counselor, MS | 801 N. Broadway, Baltimore, MD 21205 | 2018-06-14 |
| 1588115653 | Redeem Healthcare and Medical System Inc | Case Management | 917 North Caroline Street, Baltimore, MD 21205 | 2016-10-24 |
| 1013334929 | Crystal Diane Salcido | Psychiatry & Neurology | 855 N Wolfe St Ste 300, Baltimore, MD 21205 | 2014-03-28 |
| 1487088464 | Laura Mitchell | Nurse Practitioner | 707 N. Broadway Ave, Baltimore, MD 21205 | 2013-08-27 |
| 1477992410 | Ferbet Take Care Health Maryland, P.C. | Nurse Practitioner | 900 N. Washington Street, Baltimore, MD 21205 | 2013-06-24 |
| 1225370570 | Amena Smith Fine | Pediatrics | Kennedy Krieger Institute, 707 N Broadway, Baltimore, MD 21205 | 2013-03-25 |
| 1356695993 | Kalpana Prasad | Student in an Organized Health Care Education/Training Program | 800 North Wolfe St., John G. Rangos, Sr. Building, Room 248, 2nd Floor, Baltimore, MD 21205 | 2012-11-05 |
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| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
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| 1154850063 | Maximum Lab Services, LLC | Clinical Medical Laboratory | 2211 Maryland Ave Ste A, Baltimore, MD 21218-5627 | 2017-06-06 |
| 1073925517 | Sysmex Inostics, Inc. | Clinical Medical Laboratory | 1812 Ashland Ave, Suite 500, Baltimore, MD 21205-1546 | 2014-06-02 |
| 1245655067 | Carepoint Diagnostic Services, Ltd | Clinical Medical Laboratory | 7416 Harford Rd, Baltimore, MD 21234-7107 | 2014-03-03 |
| 1366776551 | Brt Laboratories, Inc. | Clinical Medical Laboratory | 400 W Franklin St, Baltimore, MD 21201-1811 | 2009-09-22 |
| 1265685440 | Ccc Diagnostics, LLC | Clinical Medical Laboratory | 3918 Vero Road, Suite B, Baltimore, MD 21227-1522 | 2008-10-31 |
| 1518150846 | Howard H. Bond,m.d | Clinical Medical Laboratory | 9618 Belair Rd, Baltimore, MD 21236-1104 | 2007-08-21 |
| 1942425905 | Ophthalmic Photography Inc | Clinical Medical Laboratory | 3131 Enclave Ct, Baltimore, MD 21208-3337 | 2007-04-16 |
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| 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.