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SUSAN DEMETRIDES CPNP
NPI 1356498786
Nurse Practitioner - Pediatrics in Baltimore, MD

Active since January 05, 2007
707 N BROADWAY, BALTIMORE, MD 21205(443) 923-9200(443) 923-9405 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Susan Demetrides Cpnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUSAN DEMETRIDES CPNP (NPI 1356498786) is an individual pediatrics provider in Baltimore, Maryland, licensed in Maryland (R065937) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1356498786
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameSUSAN DEMETRIDESCredential: CPNP
Location Address707 N BROADWAYBaltimore, MD 21205-1832
Mailing Address2931 E Biddle StBaltimore, MD 21213-3939 · (443) 923-1886 · Fax (443) 923-1895
Phone(443) 923-9200
Fax(443) 923-9405
Sole ProprietorNo
Enumeration DateJanuary 5, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1356498786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in MD · R065937
707 N BROADWAY, Baltimore, MD 21205
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Other Identifiers 3

Medicare UPINR75761
Medicare ID-Type UnspecifiedK631E609MD
Other61114301MD · Care First Bc Bs

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. CHRISTINE ROCHE PTA
Physical Therapy Assistant
707 N BROADWAY
BALTIMORE, MD 21205
Baltimore City (443) 923-9289
RHONDA G STALLINGS PT
Physical Therapist
707 N BROADWAY, KENNEDY KRIEGER INSTITUTE
BALTIMORE, MD 21205
Baltimore City (443) 923-9200
DR. STEPHANIE A LEE PSY.D.
Psychologist
707 N BROADWAY, KENNEDY KRIEGER INSTITUTE
BALTIMORE, MD 21205
Baltimore City (443) 923-9400
ANNA DITKOFF DORSEY LGSW
Social Worker
707 N BROADWAY
BALTIMORE, MD 21205
Baltimore City (443) 923-9200
TIFFANY WEN-TING LIN PSY.D
Psychologist (Clinical)
707 N BROADWAY
BALTIMORE, MD 21205
Baltimore City (443) 923-9200
MS. BRIDGET GIBBONS M.A.
Behavior Analyst
707 N BROADWAY, KENNEDY KRIEGER INSTITUTE- BEHAVIORAL PSYCHOLOGY
BALTIMORE, MD 21205
Baltimore City (443) 923-9532
EMILY KATHRYN DRESCHEL M.ED., CCC-SLP
Speech-Language Pathologist
707 N BROADWAY
BALTIMORE, MD 21205
Baltimore City (443) 923-1872
SABRINA HARRISON DPT
Physical Therapist
707 N BROADWAY
BALTIMORE, MD 21205
Baltimore City (443) 923-9289

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susan Demetrides's NPI number?

The NPI number for Susan Demetrides is 1356498786. It was assigned to this individual provider in the NPPES registry on January 5, 2007.

Where is Susan Demetrides located?

Susan Demetrides practices at 707 N Broadway, Baltimore, MD 21205. The listed phone number is (443) 923-9200.

What is Susan Demetrides's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Susan Demetrides was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.