ADISATU RENNER


Address: 4202 Taverngreen Lane, Bowie, MD 20721
Phone: 3016938659

ADISATU RENNER (NPI# 1013436070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
LGP8919 MD Behavioral Health & Social Service Providers

Office Location

Street Address 4202 TAVERNGREEN LANE
City BOWIE
State MD
Zip Code 20721

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City BOWIE
Zip Code 20721

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Dataset Information

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.

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