LAWKPEZI ABIDE YAWA BAGNABANA (NPI# 1093334971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093334971 |
Entity Type | Individual |
Full Name | LAWKPEZI ABIDE YAWA BAGNABANA |
Practice Address |
503 Muir St Ste A Cambridge MD 21613-1848 |
Mailing Address |
12202 Kingsbrook St Bowie MD 20721-1979 |
Practice Telephone | 4102289381 |
Mailing Telephone | 2405938355 |
Enumeration Date | 2020-04-10 |
Last Update Date | 2020-04-10 |
Gender Code | F |
Is Sole Proprietor | Y |
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 |
503 MUIR ST STE A |
City | CAMBRIDGE |
State | MD |
Zip Code | 21613-1848 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376535518 | Lawrence A. Barrett II | Dentist | 503 Muir St Ste A, Cambridge, MD 21613 | 2005-08-15 |
1245837574 | Alexandra Barniea | Nurse Practitioner | 503 Muir St Ste A, Cambridge, MD 21613-1848 | 2020-10-09 |
1326675588 | Anna Zito Hackney | Dental Hygienist | 503 Muir St Ste A, Cambridge, MD 21613-1848 | 2020-03-26 |
1144884834 | Raed Ayoub | Dentist | 503 Muir St Ste A, Cambridge, MD 21613-1848 | 2019-04-28 |
1104330927 | Daniel Shields | Registered Nurse | 503 Muir St Ste A, Cambridge, MD 21613-1848 | 2017-12-01 |
1558713735 | Rachel Malinda Spellman | Nurse Practitioner | 503 Muir St Ste A, Cambridge, MD 21613-1848 | 2016-07-12 |
1497116735 | Myra Jehangir | Dentist | 503 Muir St Ste A, Cambridge, MD 21613-1848 | 2016-03-15 |
1710389051 | Ellen Catherine Jordan | Physician Assistant | 503 Muir St Ste A, Cambridge, MD 21613-1848 | 2014-09-18 |
1013252659 | Jovonne Chandler Osborne | Nurse Practitioner | 503 Muir St Ste A, Cambridge, MD 21613-1848 | 2012-12-09 |
1720353287 | Vicki Ann Hardisty | Nurse Practitioner | 503 Muir St Ste A, Cambridge, MD 21613-1848 | 2012-03-16 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225427289 | A Better Alternative Nursing Avency, Inc | Nursing Care | 204 Cedar Street, Canbridge, MD 21613 | 2015-01-14 |
1497048524 | Christina Marie Drostin | Family Medicine | 503 A Muir Street, Cambridge, MD 21613 | 2011-05-23 |
1841589058 | Wal-mart Stores East Lp | Technician/Technologist | 2775 Dorchester Square, Cambridge, MD 21613 | 2011-03-29 |
1053624452 | Gina Exantus-bernard | Pediatrics | 400 Byrn St Ste A, Cambridge, MD 21613 | 2010-07-14 |
1235362872 | St of Md/dhmh Dorchester Co Health Dept | Public Health or Welfare | 2475 Cambridge Bypass, Cambridge, MD 21613 | 2009-08-31 |
1801916622 | Alisha Foxwell Saulsbury | Social Worker | 208 Cedar St, Cambridge, MD 21613 | 2007-03-29 |
1497890669 | Charles Edmund Connelly Jr. | Dentist | 406 Lecompte Street, Cambridge, MD 21613 | 2007-02-21 |
1114088192 | Delmarva Community Services Inc | Nursing Care | 6210 Shiloh Church Hurlock Rd, Hurlock, MD 21613 | 2006-12-13 |
1184782658 | Lesa M Lee | Social Worker | 403 Race Street, Cambridge, MD 21613 | 2006-12-05 |
1750455747 | Jenny Lynne Jarrell | Social Worker | 208 Cedar Street, Cambridge, MD 21613 | 2006-11-20 |
Find all providers in zip 21613 |
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 |
---|---|---|---|---|
1972119600 | Michael Kristopher Jefferson | Student in an Organized Health Care Education/Training Program | 75 7th St Apt 3, Cambridge, MA 02141-1588 | 2020-09-18 |
1578178927 | David Harris | Student in an Organized Health Care Education/Training Program | 328 Prospect St Unit C, Cambridge, MA 02139-1315 | 2020-09-12 |
1467064543 | Shifali Singh | Student in an Organized Health Care Education/Training Program | 425 Massachusetts Ave Apt 305, Cambridge, MA 02139-2126 | 2020-08-19 |
1922618610 | Khushboo Vijay Bhatia | Student in an Organized Health Care Education/Training Program | Internal Medicine Residency Program, Mount Auburn Hospi, 330 Mt. Auburn Street, Cambridge, MA 02138 | 2020-08-06 |
1962020925 | Stefan Mcnamara | Student in an Organized Health Care Education/Training Program | 225 Johnson St, Cambridge, WI 53523-9492 | 2020-07-07 |
1194340406 | Ava Kathryn Mokhtari | Student in an Organized Health Care Education/Training Program | 83 Cambridge Pkwy Unit W506, Cambridge, MA 02142-1298 | 2020-06-11 |
1780204156 | Ashna Grover | Student in an Organized Health Care Education/Training Program | 330 Mt Auburn Street Mount Auburn Hospital, Internal Medicine Residency Program, Cambridge, MA 02138 | 2020-04-25 |
1265052435 | Elizabeth Karas | Student in an Organized Health Care Education/Training Program | 18 Whittier St Unit 2f, Cambridge, MA 02140-2606 | 2020-04-17 |
1437778156 | Claire Stauffer | Student in an Organized Health Care Education/Training Program | 15 Bigelow St Apt 2, Cambridge, MA 02139-2385 | 2020-04-13 |
1336768050 | Matthew Tomm | Student in an Organized Health Care Education/Training Program | 417 Cardinal Medeiros Ave Unit 4, Cambridge, MA 02141-1467 | 2020-04-13 |
Find all providers in CAMBRIDGE |
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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.