JOCELYN SAN MATEO (NPI# 1063765188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063765188 |
| Entity Type | Individual |
| Full Name | JOCELYN SAN MATEO |
| Practice Address |
624 N Broadway #201 Baltimore MD 21205-1900 |
| Practice Telephone | 4109354306 |
| Enumeration Date | 2012-10-26 |
| Last Update Date | 2012-10-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | R165351 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 520595110 | 05 |
| Street Address |
624 N BROADWAY #201 |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21205-1900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942360292 | Jeremy Sugarman | Internal Medicine | 624 N Broadway, Room 351, Baltimore, MD 21205-1900 | 2006-12-09 |
| 1043693021 | Tamar Mendelson | Psychologist | 624 N Broadway, Room 853, Baltimore, MD 21205-1900 | 2015-07-08 |
| 1437530383 | Kathryn Van Eck | Student in an Organized Health Care Education/Training Program | 624 N Broadway, Hampton House, Room 806, Baltimore, MD 21205-1900 | 2015-06-17 |
| 1831524289 | Brittany Lanae Feijoo | Nurse Practitioner | 624 N Broadway, Baltimore, MD 21205-1900 | 2013-09-04 |
| 1285900837 | Meghan Crosby Budinger | Counselor | 624 N Broadway, Baltimore, MD 21205-1900 | 2012-03-28 |
| 1215223359 | Elham Hatef Naimi | Specialist | 624 N Broadway, Room 501, Baltimore, MD 21205-1900 | 2011-06-28 |
| 1588858740 | Kawsar Rasmy Talaat | Internal Medicine | 624 N Broadway, Hampton House Rm 249, Baltimore, MD 21205-1900 | 2007-08-30 |
| 1164571279 | Lori Ann Hamby Erby | Genetic Counselor, MS | 624 N Broadway, Room 750, Baltimore, MD 21205-1900 | 2007-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467019034 | Meghna Rajaprakash | Student in an Organized Health Care Education/Training Program | 716 N Broadway, Rm 431, Baltimore, MD 21205 | 2019-05-20 |
| 1871158592 | Rachel Samantha Bronheim | Student in an Organized Health Care Education/Training Program | 610 N Caroline St, 5th Floor, Baltimore, MD 21205 | 2019-05-08 |
| 1700342250 | Ruth Leeanna Williams | Social Worker | 504 N. Caroline Street, Baltimore, MD 21205 | 2019-02-20 |
| 1174017032 | Anna Kathryn Chassevent | Genetic Counselor, MS | 801 N. Broadway, Baltimore, MD 21205 | 2018-06-14 |
| 1588115653 | Redeem Healthcare and Medical System Inc | Case Management | 917 North Caroline Street, Baltimore, MD 21205 | 2016-10-24 |
| 1013334929 | Crystal Diane Salcido | Psychiatry & Neurology | 855 N Wolfe St Ste 300, Baltimore, MD 21205 | 2014-03-28 |
| 1487088464 | Laura Mitchell | Nurse Practitioner | 707 N. Broadway Ave, Baltimore, MD 21205 | 2013-08-27 |
| 1477992410 | Ferbet Take Care Health Maryland, P.C. | Nurse Practitioner | 900 N. Washington Street, Baltimore, MD 21205 | 2013-06-24 |
| 1225370570 | Amena Smith Fine | Pediatrics | Kennedy Krieger Institute, 707 N Broadway, Baltimore, MD 21205 | 2013-03-25 |
| 1356695993 | Kalpana Prasad | Student in an Organized Health Care Education/Training Program | 800 North Wolfe St., John G. Rangos, Sr. Building, Room 248, 2nd Floor, Baltimore, MD 21205 | 2012-11-05 |
| Find all providers in zip 21205 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962000679 | Laly Sorto | Nurse Practitioner | 923 S Curley St, Baltimore, MD 21224-4825 | 2020-10-14 |
| 1093312209 | Shelby Bruno | Nurse Practitioner | 29 S Greene St Fl 2, Baltimore, MD 21201-1504 | 2020-10-01 |
| 1558996520 | Mercy Olunma Ejikemeh | Nurse Practitioner | 4625 Riddle Dr, Baltimore, MD 21236-5702 | 2020-03-10 |
| 1215599170 | Shannon Joan Carroll | Nurse Practitioner | 1448 Richardson St, Baltimore, MD 21230-5322 | 2019-07-01 |
| 1871074096 | Debobeth Medical Center | Nurse Practitioner | 3107 Erdman Ave, Baltimore, MD 21213-1719 | 2018-08-25 |
| 1558853747 | Jackline Ukadike | Nurse Practitioner | 650 S Exeter St, Baltimore, MD 21202-4573 | 2018-06-04 |
| 1881183283 | Rosanna Thy Dinh | Nurse Practitioner | 419 W Redwood St Ste 330, Baltimore, MD 21201-7003 | 2018-05-02 |
| 1992219885 | Josie Dantzler | Nurse Practitioner | 405 N Paca St Fl 1, Baltimore, MD 21201-1815 | 2017-11-30 |
| 1306358908 | Gina Lynne Murray | Nurse Practitioner | 4102 Chardel Rd Apt 3f, Baltimore, MD 21236-5463 | 2017-11-04 |
| 1114440468 | Abigale Ann Celotto | Nurse Practitioner | 22 S Greene St # G7k22, Baltimore, MD 21201-1544 | 2017-07-19 |
| Find all providers in BALTIMORE | ||||
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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.