Basic Information
| Provider Information | |||||||||
| NPI: | 1548362320 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BATTY | ||||||||
| FirstName: | KRISTINE | ||||||||
| MiddleName: | E | ||||||||
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| Credential: | RNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 9910 FRANKLIN SQUARE DR # 2110 | ||||||||
| Address2: | |||||||||
| City: | BALTIMORE | ||||||||
| State: | MD | ||||||||
| PostalCode: | 212364902 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4018612233 | ||||||||
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| Practice Location | |||||||||
| Address1: | 5755 CEDAR LN | ||||||||
| Address2: | |||||||||
| City: | COLUMBIA | ||||||||
| State: | MD | ||||||||
| PostalCode: | 21044 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4107208695 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 09/02/2006 | ||||||||
| LastUpdateDate: | 09/17/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | NPP37191 | RI | N | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family | 363LF0000X | R240065 | MD | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
ID Information
| ID | Type | State | Issuer | Description | 9023952 | 05 | RI | MEDICAID | 05-0503963 | 01 | RI | MULTIPLAN | OTHER | 05-0503963 | 01 | RI | CIGNA | OTHER | 05-0503963 | 01 | RI | UNITED HEALTH | OTHER | 23952-9 | 01 | RI | BLUE CROSS | OTHER | 409438 | 01 | RI | BLUE CHIP | OTHER |