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MRS. KATHERINE DELGADO JANTAC GNP-BC NPI 1770635187


NPI Information

NPI: 1770635187
Provider Name: MRS. KATHERINE DELGADO JANTAC, GNP-BC
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

Organization: PERSONAL PHYSICIAN CARE, LLC

PECOS Registration: Yes

Address:
6334 CEDAR LN
SUITE 103
COLUMBIA, MD
ZIP 21044
Phone: (410) 531-2355
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MRS. Katherine Delgado Jantac, GNP-BC is a gerontology nurse practitioner in Columbia, MD with 27 years of experience. MRS. Katherine Delgado Jantac, GNP-BC NPI is 1770635187. 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:

6334 CEDAR LN
SUITE 103
COLUMBIA, MD
ZIP 21044-898
Phone: (410) 531-2355
Fax: (410) 531-7041

The NPI 1770635187 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Removal of impact ear wax, one ear (HCPCS:69210)

The enumeration date for this NPI number is 1/17/2007 and was last updated on 5/6/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LG0600XNurse PractitionerGerontologyR121680MARYLANDYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1P516-0001OTHERCAREFIRST BCBS OF DC
2P00748106MEDICARE PIN
3948993-02OTHERCAREFIRST BCBS OF MD
483-20152OTHEREVERCARE
5P00690842MEDICARE PIN
6948993-01OTHERCAREFIRST BCBS OF MD
7143163ZCBPMEDICARE PIN
8263108258OTHERTRICARE NORTH
9161053ZAPUMEDICARE PIN
1083-15248OTHEREVERCARE
119680-0062OTHERCAREFIRST BCBS OF DC
12417307400MEDICAIDMARYLAND

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.