MRS. CAROLYN R. DECKER (NPI# 1003907106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003907106 |
| Entity Type | Individual |
| Full Name | MRS. CAROLYN R. DECKER |
| Credential | RN, MSN, PNP |
| Practice Address |
433 Edgewater Rd Pasadena MD 21122-5622 |
| Practice Telephone | 4102555864 |
| Mailing Telephone | 4102555864 |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
R052812 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184815318 | Carolyn Genette Decker | Nutritionist | 241 Atlantic Avenue East, Dassel, MN 55325-0000 | 2007-08-05 |
| Street Address |
433 EDGEWATER RD |
| City | PASADENA |
| State | MD |
| Zip Code | 21122-5622 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740889211 | Hyunji Lee | Pharmacist | 8107 Governor Ritchie Highway, Pasadena, MD 21122 | 2020-10-25 |
| 1538712625 | Liri Fusha | Clinic/Center | 8221 Richie Hwy Suit #102, Pasadena, MD 21122 | 2019-07-18 |
| 1730649922 | Barrett Arthur Tollenger | Counselor | 2825 Mountain Road, Suite 204, Pasadena, MD 21122 | 2019-03-22 |
| 1750849543 | Bradley J Spoon | Counselor | 8028 Ritchie Highway St. 312, Pasadena, MD 21122 | 2019-03-11 |
| 1366916553 | Brittney Byrd | Behavior Technician | 7759 Middlegate Ct, Pasadena, MD 21122 | 2019-01-22 |
| 1780154310 | Amanda Ann Zeller | Speech-Language Pathologist | 8515 Jenkins Road, Pasadena, MD 21122 | 2018-11-27 |
| 1225531544 | Anne Arundel-sca Surgicenter, LLC | Clinic/Center | 8109 Ritchie Hwy Ste 250, Pasadena, MD 21122 | 2018-03-13 |
| 1629577424 | Anne Arundel Physician Group, LLC | Obstetrics & Gynecology | 18 Magothy Beach Road Suite A, Pasadena, MD 21122 | 2018-02-07 |
| 1063968261 | Chinedu Ikpemo | Pharmacist | 8051 Fort Smallwood Rd, Pasadena, MD 21122 | 2016-08-28 |
| 1053728634 | Wisecare, LLC | Clinic/Center | 33 Magothy Beach Rd, Suite 102-103, Pasadena, MD 21122 | 2014-07-16 |
| Find all providers in zip 21122 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912317942 | Kelly Snyder Ruemmele | Nurse Practitioner | 3737 Red Bluff Rd Ste 150, Pasadena, TX 77503-3307 | 2014-04-29 |
| 1467879650 | Meghan Begley | Nurse Practitioner | 3100 Mountain Rd Ste E, Pasadena, MD 21122-2018 | 2014-03-25 |
| 1639191471 | Sharon Elizabeth Brodie | Nurse Practitioner | 8109 Ritchie Highway, Pasadena, MD 21122 | 2006-07-24 |
| 1942253117 | Ronni Gordon Bergman | Nurse Practitioner | 401 So Fair Oaks Ave, Pasadena, CA 91105 | 2006-05-18 |
| 1881180677 | Charlotte Smith Chudy | Nurse Practitioner | 3100 Mountain Rd Ste E, Pasadena, MD 21122-2018 | 2018-07-05 |
| 1871826776 | Valerie Lynn Willis | Nurse Practitioner | 100 W California Blvd, Pasadena, CA 91109-7013 | 2009-09-09 |
| 1922236801 | Erin Colleen Lytle | Nurse Practitioner | 3100 Mountain Rd, Pasadena, MD 21122-2018 | 2009-06-30 |
| 1871626200 | Terry Marie Boehmer | Nurse Practitioner | 351 S Hudson Ave, Pasadena, CA 91101-3507 | 2007-03-14 |
| 1366587206 | Carolyn Joyce Wadsworth | Nurse Practitioner | 351 S Hudson Ave, Pasadena, CA 91101-3507 | 2007-02-20 |
| 1295876936 | Corley Fichera | Nurse Practitioner | 4949 Fairmont Pkwy, Suite 200, Pasadena, TX 77505-3723 | 2007-02-08 |
| Find all providers in PASADENA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.