ADISATU RENNER (NPI# 1013436070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013436070 |
Entity Type | Individual |
Full Name | ADISATU RENNER |
Practice Address |
4202 Taverngreen Lane Bowie MD 20721 |
Mailing Address |
4202 Taverngreen Ln Bowie MD 20720-3541 |
Practice Telephone | 3016938659 |
Enumeration Date | 2017-09-11 |
Last Update Date | 2019-01-25 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
LGP8919 | MD | Behavioral Health & Social Service Providers |
Street Address |
4202 TAVERNGREEN LANE |
City | BOWIE |
State | MD |
Zip Code | 20721 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124683768 | Lucie Bakop | Nurse Practitioner | 1217 Kingsbury Drive, Bowie, MD 20721 | 2019-05-09 |
1699245258 | Rita Nkilo Chofong | Home Health Aide | 1810 Sahara Lane, Bowie, MD 20721 | 2018-11-27 |
1215416136 | Mbah Charles | Home Health Aide | 3705 Clayton Dr, Bowie, MD 20721 | 2018-08-10 |
1730678061 | Isabell Home Care Assisted Living LLC | Assisted Living Facility | 11609 Candor Drive, Bowie, MD 20721 | 2018-05-02 |
1619486974 | Orthatech Inc | Durable Medical Equipment & Medical Supplies | 12138 Central Ave #777, Suite 961, Mitchelville, MD 20721 | 2017-09-29 |
1780103994 | Rosefidelis Omnicare, LLC | Registered Nurse | 3815 Alta Vista Drive, Bowie, MD 20721 | 2017-09-19 |
1730607375 | Hope Inyamah Coston | Student in an Organized Health Care Education/Training Program | 12158 Central Avenue, Mitchellville, MD 20721 | 2017-09-05 |
1982121463 | Awal A Aziz | Specialist/Technologist, Other | 14303 Duncannon Court, Bowie, MD 20721 | 2017-08-25 |
1851841555 | Emmanuel K Tanyi | Home Health Aide | 10971 Spyglass Hill, Bowie, MD 20721 | 2016-10-06 |
1912454513 | Blessed Angels Home Healthcare Services | Day Training, Developmentally Disabled Services | 1806 Saint George's Way, Mitchellville, MD 20721 | 2016-09-01 |
Find all providers in zip 20721 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639789142 | Tiffany Johnon | Counselor | 16703 Governor Bridge Rd Apt 203, Bowie, MD 20716-3678 | 2020-08-09 |
1669025276 | Philip Ngu Ngundam | Counselor | 14302 Pleasant View Dr, Bowie, MD 20720-4809 | 2019-07-23 |
1538630967 | Chontelai Patterson Mendie | Counselor | 15602 Everglade Ln Apt 303, Bowie, MD 20716-3245 | 2018-12-11 |
1427528819 | Nicole Rudd | Counselor | 4315 Northview Dr, Bowie, MD 20716 | 2018-11-28 |
1952896458 | Carolyn Simms | Counselor | 10111 Martin Luther King Hwy, Suite 103, Bowie, MD 20720 | 2018-06-27 |
1336678911 | Francesca Alexis Montgomery | Counselor | 14008 Heatherstone Dr, Bowie, MD 20720-4830 | 2017-06-07 |
1720459340 | Lindsay Jimmink | Counselor | 2709 Federal Ln, Bowie, MD 20715-2310 | 2015-10-08 |
1073906640 | Shatoni Hill | Counselor | 10313 Westridge Dr, Bowie, MD 20721-2935 | 2015-03-06 |
1861899676 | Sade Marie Crawford | Counselor | 908 Hall Station Dr, 204, Bowie, MD 20721 | 2014-11-21 |
1659775112 | Kimberly Robinson | Counselor | 12913 Marquette Ln, Bowie, MD 20715-3029 | 2014-10-13 |
Find all providers in BOWIE |
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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.