MISS SARA ELIZABETH ATWATER CPNP NPI 1255569125

NPI Information

NPI: 1255569125
Provider Name: MISS SARA ELIZABETH ATWATER, CPNP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

PECOS Registration: Yes

Address:
600 N WOLFE ST
BLALOCK 935
BALTIMORE, MD
ZIP 21287
Phone: (410) 614-6222
Get Directions

MISS Sara Elizabeth Atwater, CPNP is a pediatrics nurse practitioner in Baltimore, MD. MISS Sara Elizabeth Atwater, CPNP NPI is 1255569125. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

600 N WOLFE ST
BLALOCK 935
BALTIMORE, MD
ZIP 21287-005
Phone: (410) 614-6222

The NPI 1255569125 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/30/2009 and was last updated on 11/20/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		R160179	MARYLAND	No
2	363LP0200X	Nurse Practitioner	Pediatrics	R 160179	MARYLAND	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	026705800	MEDICAID	MARYLAND
2	166368YUX	MEDICARE PIN	MARYLAND
3	166368YUW	MEDICARE PIN	MARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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