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
- 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
- Code Navigator
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.
Location Map
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.
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.
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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. | |||||||||
1 | 0 | 9 | 3 | 0 | 0 | 0 | 4 | 3 | 2 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 0 | 18 | 3 | 0 | 0 | 0 | 4 | 6 | |
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 = 2 | 2 |
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 |
---|---|---|---|
1871547729 | MRS. 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 Therapist | 1190 W NORTHERN PKWY SUITE 110 BALTIMORE, MD 21210 (410) 433-3737 |
1437394111 | JESSICA ROSE SHAPIRO M.AC., L.AC. Individual | Acupuncturist | 1190 W NORTHERN PKWY SUITE 110 BALTIMORE, MD 21210 (610) 357-2261 |
1629202916 | MS. 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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