MRS. DEBORAH CARINA KELLY-WILLIAMS (NPI# 1093090284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093090284 |
| Entity Type | Individual |
| Full Name | MRS. DEBORAH CARINA KELLY-WILLIAMS |
| Credential | CRNP |
| Practice Address |
705 Digital Dr Ste G Linthicum Heights MD 21090-2267 |
| Mailing Address |
9524 Twilight Ct Columbia MD 21046-1954 |
| Practice Telephone | 4106363060 |
| Practice Fax Number | 4106361675 |
| Mailing Telephone | 3017259732 |
| Mailing Fax Number | 3017259732 |
| Enumeration Date | 2011-10-19 |
| Last Update Date | 2011-10-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
R144348 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
705 DIGITAL DR STE G |
| City | LINTHICUM HEIGHTS |
| State | MD |
| Zip Code | 21090-2267 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275845638 | Carolyn Jendrek | General Practice | 705 Digital Dr Ste G, Linthicum Heights, MD 21090-2267 | 2010-07-13 |
| 1255676037 | Belinda Nebedum | Internal Medicine | 705 Digital Dr Ste G, Linthicum Heights, MD 21090-2267 | 2012-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023365988 | Brian Craig Fikes | Registered Nurse | 901 Elkridge Landing Rd Ste 100, Linthicum Heights, MD 21090 | 2012-08-10 |
| 1922354075 | Dimension Health Care | General Acute Care Hospital | 603 Fairmeade Ct, Linthicum, MD 21090 | 2012-07-26 |
| 1720302052 | Freestate Transportation, LLC | Ambulance | 832 Oregon Ave, Suites K-l, Linthicum, MD 21090 | 2010-03-15 |
| 1225170806 | George Edward La Rocco | Internal Medicine | 7323 Aviation Blvd Ms 1178, Linthicum, MD 21090 | 2007-02-12 |
| 1700810629 | Ambumed Inc. | Clinical Medical Laboratory | 803 Barkwood Court, Ste A, Linthicum Heights, MD 21090 | 2006-07-10 |
| 1679521975 | Gloria Suja Domingo | Pediatrics | 809 N Hammonds Ferry Rd Ste C, Linthicum, MD 21090 | 2006-05-05 |
| 1063481703 | Anne Arundel Dermatology, P.a. | Specialist | 1306 Concourse Dr Ste 201, Linthicum, MD 21090 | 2006-03-15 |
| 1174878441 | Rebecca Lynn Sebastian | Physical Therapist | 609 Global Way, Linthicum, MD 21090 | 2012-07-23 |
| 1538179130 | Ettaly Franke Jobes | Pediatrics | 605 Global Way, Suite 119 Arundel Pediatrics P.a., Linthicum, MD 21090 | 2006-08-08 |
| 1164771762 | Maryland Specialty Surgery Center, LLC | Clinic/Center | 509 Progress Drive, Suite 100, Linthicum, MD 21090-0000 | 2012-08-29 |
| Find all providers in zip 21090 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801401328 | Fese E Bokosah | Nurse Practitioner | 2671 Ricker Pond Ct, Waldorf, MD 20603-2060 | 2020-09-11 |
| 1558975508 | Marlene Joan Margerum | Nurse Practitioner | 6052 Augustine Ave, Elkridge, MD 21075-5351 | 2020-09-06 |
| 1386258929 | Suzette Jones | Nurse Practitioner | Chesapeake Shores Nursing Home, 21412 Great Mills Road, Lexington Park, MD 20653 | 2020-09-01 |
| 1760091003 | Rachel Langley | Nurse Practitioner | 9 Cedar Chip Ct, Parkville, MD 21234-8035 | 2020-07-22 |
| 1679113054 | Clifton Dawson IIi | Nurse Practitioner | 10230 New Hampshire Ave # 340, Silver Spring, MD 20903-1400 | 2020-01-13 |
| 1750920179 | Jecinta Chinyere Ogbennah | Nurse Practitioner | 6629 Aaron Mee Way, Baltimore, MD 21237-4337 | 2020-01-02 |
| 1578114229 | Carolina Delacruz | Nurse Practitioner | 5601 Loch Raven Blvd Bldg Center, Baltimore, MD 21239-2945 | 2019-09-24 |
| 1366096034 | Tammy Fusilier | Nurse Practitioner | 3460 Old Washington Rd Ste 203a, Waldorf, MD 20602-3243 | 2019-07-30 |
| 1649839218 | Lauren Anne Flowers | Nurse Practitioner | 202 Leslie Ave, Nottingham, MD 21236-4217 | 2019-06-07 |
| 1255893061 | Irene W. Njuguna | Nurse Practitioner | 4307 Silver Spring Rd, Perry Hall, MD 21128-9656 | 2019-04-01 |
| Find all providers with the same taxonomy | ||||
| City | LINTHICUM HEIGHTS |
| Zip Code | 21090 |
Please comment or provide details below to improve the information on MRS. DEBORAH CARINA KELLY-WILLIAMS.
| 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.