MELISSA DANIELLE MAGASSOUBA (NPI# 1104281484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104281484 |
Entity Type | Individual |
Full Name | MELISSA DANIELLE MAGASSOUBA |
Practice Address |
22 S Greene St Baltimore MD 21201-1544 |
Mailing Address |
3409 Nottingham Rd Westminster MD 21157-8303 |
Practice Telephone | 4103288274 |
Enumeration Date | 2015-12-30 |
Last Update Date | 2016-09-21 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
R185466 | MD | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
22 S GREENE ST |
City | BALTIMORE |
State | MD |
Zip Code | 21201-1544 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750383063 | Malinda Daniel Duke | Nurse Practitioner | 22 S Greene St, Rm N6w84, Baltimore, MD 21201-1544 | 2005-06-01 |
1891396784 | Tamara Wiseman | Nurse Practitioner | 22 S Greene St, Baltimore, MD 21201-1544 | 2020-11-05 |
1063012664 | Shawna Marie Hutton | Registered Nurse | 22 S Greene St, Baltimore, MD 21201-1590 | 2020-11-01 |
1124625413 | Kerry Ann Lambert | Pharmacist | 22 S Greene St, Baltimore, MD 21201-1590 | 2020-10-08 |
1730786104 | Joseph William Russo | Pediatrics | 22 S Greene St, Baltimore, MD 21201-1590 | 2020-10-07 |
1295342327 | Leah Marie Dubose | Nurse Practitioner | 22 S Greene St, Baltimore, MD 21201-1544 | 2020-09-23 |
1275147167 | Rosalynn Joy Allen | Registered Nurse | 22 S Greene St, Baltimore, MD 21201-1590 | 2020-09-08 |
1174137269 | Keiara Williams | Nurse Practitioner | 22 S Greene St, Baltimore, MD 21201-1544 | 2020-09-04 |
1699389858 | Caitlin Lauren Thomas | Nurse Practitioner | 22 S Greene St, Baltimore, MD 21201-1544 | 2020-09-04 |
1639782568 | Anna Pfouts | Nurse Practitioner | 22 S Greene St, Baltimore, MD 21201-1544 | 2020-08-29 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518585470 | Meshref Ayed Alshehri | Student in an Organized Health Care Education/Training Program | 22 S. Greene Street, Room N3e09, Baltimore, MD 21201 | 2020-07-08 |
1306462411 | Michael Julian Wong | Student in an Organized Health Care Education/Training Program | University of Maryland, Department of Anesthesiology, 22 S Green St, S11b, Baltimore, MD 21201 | 2020-06-24 |
1740817733 | Martha Kaitlyn Coghlan | Student in an Organized Health Care Education/Training Program | Ummc Ob/gyn, 22 S. Greene St., Baltimore, MD 21201 | 2020-03-27 |
1629606637 | Taylor Renee Kai | Student in an Organized Health Care Education/Training Program | University of Maryland, 22 S. Greene Street, Room N3e09, Baltimore, MD 21201 | 2020-03-27 |
1295362697 | Brittany A Oster | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street 6th Floor, Suite 300, Baltimore, MD 21201 | 2020-03-25 |
1346877735 | Kayvon Michael Mobarakeh | Student in an Organized Health Care Education/Training Program | University of Maryland Department of Anesthesiology, 22 S Greene St, S11c, Baltimore, MD 21201 | 2020-03-25 |
1598392284 | Zachary Allan Hagen | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street, 6th Flr., Suite 200, Baltimore, MD 21201 | 2020-03-24 |
1700430055 | Jaime Semchuk | Student in an Organized Health Care Education/Training Program | 737 West Lombard, Baltimore, MD 21201 | 2019-07-25 |
1952861619 | Zachary Daniel Sanford | Student in an Organized Health Care Education/Training Program | 22 S Greene Street S8b12, Baltimore, MD 21201 | 2019-03-20 |
1114487840 | Spencer Sykes Lovegrove | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street, Sixth Floor, Suite 200, Baltimore, Sixth Floor, Suite 200, Baltimore, MD 21201 | 2019-03-20 |
Find all providers in zip 21201 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
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1659981728 | Jamie Briddell | Nurse Practitioner | 250 N Calvert St, Baltimore, MD 21202-3505 | 2020-08-04 |
1790300903 | Hall Diabetes Management and Resource Center PC | Nurse Practitioner | 1900 E Northern Pkwy Ste T1, Baltimore, MD 21239-2120 | 2020-06-12 |
1356978530 | Melissa Irvin Sahm | Nurse Practitioner | 2634 Guilford Ave, Baltimore, MD 21218-4611 | 2020-03-26 |
1821646092 | Aaron Murfin | Nurse Practitioner | 1055 W Market St Ste H, Baltimore, OH 43105-1284 | 2019-08-29 |
1669024543 | Alpa Uchil | Nurse Practitioner | 601 N Caroline St Ste 5061, Baltimore, MD 21287-0006 | 2019-07-11 |
1982169918 | Stephanie Ann Wagner | Nurse Practitioner | 5601 Loch Raven Blvd Bldg Suite502, Baltimore, MD 21239-2945 | 2019-02-04 |
1386118289 | Dia Lynae Johnson | Nurse Practitioner | 4101 Glenhunt Rd, Baltimore, MD 21229-1705 | 2019-01-14 |
1083181077 | Gilah Speedone | Nurse Practitioner | 5915 Western Park Dr, Baltimore, MD 21209-3416 | 2018-10-27 |
1144719634 | Kathryn Ellen Menzel | Nurse Practitioner | 601 N Caroline St Fl 7, Baltimore, MD 21287-0006 | 2018-05-09 |
1659815520 | Leonard Mugo | Nurse Practitioner | 4611 Southwood Ave, Baltimore, MD 21206-2245 | 2016-12-13 |
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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.