WATCHEMSPROUT PEDIATRICS LLC
NPI 1093000432
Nurse Practitioner - Pediatrics in Baltimore, MD

NPI Status: Active since June 14, 2011

Contact Information

1190 W NORTHERN PKWY
SUITE 101
BALTIMORE, MD
ZIP 21210
Phone: (410) 433-0801

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  • Organization
  • Nurse Practitioner
  • Pediatrics
  • CLIA Number: 21D2029932
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 09-16-2025

About WATCHEMSPROUT PEDIATRICS LLC

This page provides the complete NPI Profile along with additional information for Watchemsprout Pediatrics Llc, a provider established in Baltimore, Maryland operating as a Nurse Practitioner, focusing in pediatrics . The healthcare provider is registered in the NPI registry with number 1093000432 assigned on June 2011. The practitioner's primary taxonomy code is 363LP0200X with license number R146510 (MD). The provider is registered as an organization and their NPI record was last updated 14 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Mrs. Mary T Reus Crnp (Nurse Practitioner)

NPI
1093000432
Provider Name
WATCHEMSPROUT PEDIATRICS LLC
Entity Type
Organization
Location Address
1190 W NORTHERN PKWY SUITE 101 BALTIMORE, MD 21210
Location Phone
(410) 433-0801
Mailing Address
1190 W NORTHERN PKWY SUITE 101 BALTIMORE, MD 21210
Mailing Phone
(410) 433-0801
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-14-2011
Last Update Date
06-14-2011
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A nurse practitioner (NP) like Watchemsprout Pediatrics Llc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Pediatrics

Taxonomy Code
363LP0200X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
R146510
License State
MD

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. MARY T REUS CRNP

Authorized Official Title
NURSE PRACTITIONER
Authorized Official Phone
(410) 433-0801

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
21D2029932
Facility Type
Physician Office
Certificate Effective Date
September 17, 2023
Certificate Expiration Date
September 16, 2025
Laboratory Director
CELIA BARDOFF CRNP
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Watchemsprout Pediatrics Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for WATCHEMSPROUT PEDIATRICS LLC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1093000432
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2018300046
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 8 + 3 + 0 + 0 + 0 + 4 + 6 + 24 = 48
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 48 = 22

The NPI number 1093000432 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1871547729MRS. CELIA IRIS BARDOFF CRNP
Individual
Nurse Practitioner (Pediatrics)1190 W NORTHERN PKWY SUITE 101
BALTIMORE, MD 21210
(410) 433-0801
1194903492 JENNIFER ERIN DUGAN LCMFT
Individual
Marriage & Family Therapist1190 W NORTHERN PKWY SUITE 110
BALTIMORE, MD 21210
(410) 433-3737
1437394111 JESSICA ROSE SHAPIRO M.AC., L.AC.
Individual
Acupuncturist1190 W NORTHERN PKWY SUITE 110
BALTIMORE, MD 21210
(610) 357-2261
1629202916MS. MELANIE ETTAFAITH LEVINE LCSW-C
Individual
Social Worker (Clinical)1190 W NORTHERN PKWY SUITE 110
BALTIMORE, MD 21210
(410) 218-7053
1043651656 MALKA RUDIN LCSW-C
Individual
Social Worker (Clinical)1190 W NORTHERN PKWY
BALTIMORE, MD 21210
(845) 300-0922

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093000432, enumerated in the NPI registry as an "organization" on June 14, 2011

The provider is located at 1190 W Northern Pkwy Suite 101 Baltimore, Md 21210 and the phone number is (410) 433-0801

This medical organization specializes in Nurse Practitioner with taxonomy code 363LP0200X with a focus in Pediatrics

The provider's CLIA number is 21D2029932 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on June 14, 2011. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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