TENNI O JOHN-IDIAGBONYA (NPI# 1053850008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053850008 |
| Entity Type | Individual |
| Full Name | TENNI O JOHN-IDIAGBONYA |
| Credential | FNP |
| Practice Address |
55 Wade Ave Catonsville MD 21228-4663 |
| Practice Telephone | 4104027718 |
| Mailing Telephone | 4104027718 |
| Enumeration Date | 2017-02-22 |
| Last Update Date | 2017-02-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
R187565 | MD | Nursing Service Providers |
| Street Address |
55 WADE AVE |
| City | CATONSVILLE |
| State | MD |
| Zip Code | 21228-4663 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225029796 | Brian Ron Sims | Psychiatry & Neurology | 55 Wade Ave, Catonsville, MD 21228-4663 | 2005-11-02 |
| 1306483631 | Thecla Ngozi Asoluka | Nurse Practitioner | 55 Wade Ave, Catonsville, MD 21228-4663 | 2019-12-05 |
| 1013483213 | David Cannon | Pharmacist | 55 Wade Ave, Catonsville, MD 21228-4663 | 2018-10-16 |
| 1497105852 | Michelle F Estis | Psychologist | 55 Wade Ave, Spring Grove Hospital Center, Dayhoff A, Catonsville, MD 21228-4663 | 2016-06-16 |
| 1194182089 | The Care Group At Safe Harbor | Psychologist | 55 Wade Ave, Catonsville, MD 21228-4663 | 2016-01-22 |
| 1417388554 | Elyse Wrona | Social Worker | 55 Wade Ave, Catonsville, MD 21228-4663 | 2013-11-27 |
| 1417258583 | Ingrid Marie Carlsson | Physician Assistant | 55 Wade Ave, Catonsville, MD 21228-4663 | 2010-11-05 |
| 1164663662 | Abner P Pasatiempo | Psychiatry & Neurology | 55 Wade Ave, Catonsville, MD 21228-4663 | 2009-03-12 |
| 1811133580 | Catherine Michelle Cross | Social Worker | 55 Wade Ave, White B, Catonsville, MD 21228-4663 | 2008-12-30 |
| 1891964177 | Joanna Baranauskas | Social Worker | 55 Wade Ave, Catonsville, MD 21228-4663 | 2008-02-21 |
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| 1649818329 | Resolute Medical Care LLC | Nurse Practitioner | 4 E. Rolling Crossroads, Ste 100, Catonsville, MD 21228 | 2019-12-13 |
| 1760020416 | Bh Brightview Rolling Hills Opco, LLC | Alzheimer Center (Dementia Center) | 848 South Rolling Road, Catonsville, MD 21228 | 2019-12-12 |
| 1912542812 | Tiana Green | Counselor | 606 Edmondson Ave., Catonsville, MD 21228 | 2019-11-14 |
| 1699324806 | Maryland Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 4701 Wilkens Ave, Catonsville, MD 21228 | 2019-09-10 |
| 1528613460 | Hyung Joon Kim Dds PC | Dentist | 516 N. Rolling Rd, #201, Catonsville, MD 21228 | 2019-08-07 |
| 1982109658 | William Jones | Counselor | 29 Tentmill Lane, Pikesville, MD 21228 | 2018-03-26 |
| 1740783752 | Jean Walter Infusion Center, LLC | Clinic/Center | 700 Geipe Road St. 100, Catonsville, MD 21228 | 2018-03-15 |
| 1174036578 | Ideal Telemedicine Services, LLC | Clinic/Center | 516 N Rolling Rd Ste 301, Catonsville, MD 21228 | 2017-11-08 |
| 1932627239 | Mind Over Matter Health Services, Inc. | Community/Behavioral Health | 616 Old Edmondson Ave. Ste. 4, Baltimore, MD 21228 | 2017-09-07 |
| Find all providers in zip 21228 | ||||
| Taxonomy Code | 163WP0809X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
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| 1841845245 | Mary Sidhwani | Registered Nurse | 5119 Crystal Park Ln, Ellicott City, MD 21043-7947 | 2019-08-03 |
| 1750943650 | Toyin Atoki | Registered Nurse | 21 Springtide Ct, Baltimore, MD 21220-2374 | 2019-07-01 |
| 1518523075 | Outreach Recovery II | Registered Nurse | 2568 Riva Rd Ste 203, Annapolis, MD 21401-7405 | 2019-05-10 |
| 1194286757 | Wendy Christine Shepard | Registered Nurse | 1821 Portal St Ste A, Baltimore, MD 21224-6541 | 2019-03-27 |
| 1619468329 | Jane Viola Graham | Registered Nurse | 10225 Colesville Rd, Silver Spring, MD 20901-2429 | 2018-05-29 |
| 1871096081 | Adilah M. Meredith-kirton | Registered Nurse | National Institute of Mental Health-division Of, Intramural Research Programs Building 35a Suite Ge-400, Bethesda, MD 20892 | 2018-03-14 |
| Find all providers with the same taxonomy | ||||
| City | CATONSVILLE |
| Zip Code | 21228 |
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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.