JESSICA GRACE XANDER (NPI# 1073996104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073996104 |
| Entity Type | Individual |
| Full Name | JESSICA GRACE XANDER |
| Credential | M.S., CF-SLP |
| Practice Address |
15005 Health Center Dr Bowie MD 20716-1017 |
| Mailing Address |
2603 Hampden Ave Baltimore MD 21211-3107 |
| Practice Telephone | 3018056070 |
| Mailing Telephone | 4436428971 |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2015-07-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
15005 HEALTH CENTER DR |
| City | BOWIE |
| State | MD |
| Zip Code | 20716-1017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942221197 | Priya Vasdev | Internal Medicine | 15005 Health Center Dr, Bowie, MD 20716-1017 | 2006-07-22 |
| 1588285316 | Andrew Consugar | Physical Therapy Assistant | 15005 Health Center Dr, Bowie, MD 20716-1017 | 2020-05-04 |
| 1982169025 | Sabina W Kariuki | Occupational Therapy Assistant | 15005 Health Center Dr, Bowie, MD 20716-1017 | 2019-02-03 |
| 1669969382 | Bamidele Olawale Johnson | Physical Therapist | 15005 Health Center Dr, Bowie, MD 20716-1017 | 2018-04-18 |
| 1467907311 | Dina Labanc | Speech-Language Pathologist | 15005 Health Center Dr, Bowie, MD 20716-1017 | 2016-08-22 |
| 1073967428 | Bowie Center Limited Partnership | Occupational Therapist | 15005 Health Center Dr, Bowie, MD 20716-1017 | 2016-04-21 |
| 1093174948 | Brittany Whaley-jubilee | Occupational Therapist | 15005 Health Center Dr, Bowie, MD 20716-1017 | 2016-02-21 |
| 1467811547 | Delvin Champagne | Occupational Therapy Assistant | 15005 Health Center Dr, Bowie, MD 20716-1017 | 2016-02-17 |
| 1760892145 | Kendra Plummer | Occupational Therapist | 15005 Health Center Dr, Bowie, MD 20716-1017 | 2014-05-06 |
| 1700222668 | Janet Alma Rogers | Speech-Language Pathologist | 15005 Health Center Dr, Bowie, MD 20716-1017 | 2013-05-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508330903 | Stacey Katheryn Lundquist | Counselor | 3060 Michellville Rd, Suite 106, Bowie, MD 20716 | 2019-01-18 |
| 1427528819 | Nicole Rudd | Counselor | 4315 Northview Dr, Bowie, MD 20716 | 2018-11-28 |
| 1427541838 | Outreach Recovery II, LLC | Internal Medicine | 4201 Northview Dr Ste 104, Bowie, MD 20716 | 2018-06-11 |
| 1487143608 | Fatimata Koroma | Counselor | 3953 Elite St, Bowie, MD 20716 | 2018-05-02 |
| 1043739618 | Breanna Collinson | Behavior Technician | 3017 New Oak Ln., Bowie, MD 20716 | 2017-09-15 |
| 1790202000 | Sierra Williams Howell | Nurse Practitioner | 2802 Eliston Street, Bowie, MD 20716 | 2017-08-28 |
| 1487175105 | Martine Jean | Technician | 15911 Pointer Ridge Rd, Bowie, MD 20716 | 2017-07-03 |
| 1902254493 | Olachi Enwerem | Licensed Practical Nurse | 16206 Audubon Lane, Bowie, MD 20716 | 2016-05-25 |
| 1780039230 | Debra Lachaune Garris | Specialist | 3042 Mitchiville Road, Bowie, MD 20716 | 2016-05-03 |
| 1750782553 | Medical Trasportation Systems LLC | Non-emergency Medical Transport (VAN) | 16036 Elegant Ave, Bowie, MD 20716 | 2014-09-11 |
| Find all providers in zip 20716 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568091114 | Austin Taribo Dikibo | Student in an Organized Health Care Education/Training Program | 4316 Quanders Promise Dr, Bowie, MD 20720-5601 | 2020-04-06 |
| 1609336668 | Mohammad Ali Khan | Student in an Organized Health Care Education/Training Program | 12531 Quarterhorse Dr, Bowie, MD 20720-4328 | 2019-03-24 |
| 1225543002 | Pullak Rozario | Student in an Organized Health Care Education/Training Program | 9927 Oxbridge Way, Bowie, MD 20721-2975 | 2017-12-03 |
| 1710332267 | Kehinde Matilda Folawewo | Student in an Organized Health Care Education/Training Program | 1215 Stockport Ct, Bowie, MD 20721-1836 | 2016-05-03 |
| 1336503408 | Monee Mickens | Student in an Organized Health Care Education/Training Program | 12612 Henderson Chapel Ln, Bowie, MD 20720-3355 | 2016-04-05 |
| 1558723098 | Lauren Michelle Paish | Student in an Organized Health Care Education/Training Program | 2814 Bosworth Ln, Bowie, MD 20715-2401 | 2016-03-23 |
| 1861052623 | Marium Ghani | Student in an Organized Health Care Education/Training Program | 12531 Quarterhorse Dr, Bowie, MD 20720-4328 | 2019-06-14 |
| 1336688357 | Geraldine Alot | Student in an Organized Health Care Education/Training Program | 15763 Pointer Ridge Dr, Bowie, MD 20716-1710 | 2017-02-23 |
| 1891170148 | Sheryl Villanueva | Student in an Organized Health Care Education/Training Program | 4600 Mitchellville Rd, Bowie, MD 20716-3110 | 2015-07-28 |
| 1053676676 | Nadeige Chop | Student in an Organized Health Care Education/Training Program | 1810 Sahara Ln, Bowie, MD 20721-2736 | 2012-07-10 |
| 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.