KENNEDY KRIEGER INSTITUTE (NPI# 1710387550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710387550 |
| Entity Type | Organization |
| Organization Name | KENNEDY KRIEGER INSTITUTE |
| Practice Address |
707 N Broadway Baltimore MD 21205-1832 |
| Practice Telephone | 4439232883 |
| Enumeration Date | 2014-08-29 |
| Last Update Date | 2014-08-29 |
| Authorized Official Name | JENNIFER CROCKETT (DIRECTOR OF TRAINING) |
| Authorized Official Telephone | 4439237481 |
| Authorized Official Credential | PH.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 284300000X | Special Hospital | Hospitals |
| 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 |
| 1649595141 | Kennedy Krieger Institute | Clinical Medical Laboratory | 707 N Broadway, Kennedy Krieger Institute, Baltimore, MD 21205-1832 | 2010-03-29 |
| 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 |
| 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 | 284300000X |
| Grouping | Hospitals |
| Classification | Special Hospital |
| A designation by the AHA of a hospital whose primary function of the institution is to provide diagnostic and treatment services for patients who have specified medical conditions, both surgical and nonsurgical. |
| Notes: Source: AHA Guide, Registration section, p. A5. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699778415 | Kennedy Krieger Institute | Special Hospital | 700 N Broadway, Baltimore, MD 21205-1806 | 2005-05-24 |
| 1396150348 | Connor Green | Special Hospital | 2401 W Belvedere Ave, Baltimore, MD 21215-5216 | 2014-06-29 |
| 1154623791 | Sinai Hospital of Baltimore Inc | Special Hospital | 2401 W Belvedere Avenue, Baltimore, MD 21215 | 2010-12-02 |
| 1013143213 | Johns Hopkins Institutions | Special Hospital | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2009-06-02 |
| 1720223258 | Johns Hopkins University | Special Hospital | 701 Cathedral St, Apt # 82, Baltimore, MD 21201-5245 | 2008-12-12 |
| 1801045661 | Vamhcs | Special Hospital | 10 N Greene St, Baltimore, MD 21201-1524 | 2008-09-16 |
| 1336311042 | University of Maryland Trauma Orthopaedic | Special Hospital | 22 S Greene St, Baltimore, MD 21201-1544 | 2008-04-02 |
| 1861530271 | Ying-jun Cao | Special Hospital | 600 N Wolfe St, Osler 527, Baltimore, MD 21287-0005 | 2007-02-01 |
| 1093871329 | Mt Washington Pediatric Hospital Inc | Special Hospital | 1708 W Rogers Ave, Baltimore, MD 21209 | 2006-12-29 |
| 1639273337 | Mt Washington Pediatric Hospital Inc | Special Hospital | 1708 W Rogers Ave, Baltimore, MD 21209 | 2006-09-12 |
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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.