MS. EBONIQUE KATRESS MCCLINNAHAN (NPI# 1114562246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114562246 |
| Entity Type | Individual |
| Full Name | MS. EBONIQUE KATRESS MCCLINNAHAN |
| Credential | PMHNP-BC |
| Practice Address |
8901 Wisconsin Ave Bethesda MD 20889-4701 |
| Mailing Address |
3112 Belair Gate Ln Landover MD 20785-1943 |
| Practice Telephone | 3012950902 |
| Mailing Telephone | 9107971491 |
| Enumeration Date | 2019-11-13 |
| Last Update Date | 2019-11-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
AC002863 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7610 Pennsylvania Ave, Forestville, MD 207474701 | 2408383707 |
| Street Address |
8901 WISCONSIN AVE |
| City | BETHESDA |
| State | MD |
| Zip Code | 20889-4701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093710246 | Rosemary Grace Carr-malone | Psychiatry & Neurology | 8901 Wisconsin Ave, Bethesda, MD 20889-5600 | 2005-06-15 |
| 1861017212 | Luke White | Student in an Organized Health Care Education/Training Program | 8901 Wisconsin Ave, Bethesda, MD 20889-0004 | 2020-06-11 |
| 1538782545 | Alexander Pastino | Student in an Organized Health Care Education/Training Program | 8901 Wisconsin Ave, Bethesda, MD 20889-0004 | 2020-05-26 |
| 1104449362 | Justin James De Vera | Student in an Organized Health Care Education/Training Program | 8901 Wisconsin Ave, Bethesda, MD 20889-0004 | 2020-05-22 |
| 1881217180 | Reece Mckenzie | Student in an Organized Health Care Education/Training Program | 8901 Wisconsin Ave, Bethesda, MD 20889-0004 | 2020-05-20 |
| 1073135695 | Alex Kim | Student in an Organized Health Care Education/Training Program | 8901 Wisconsin Ave, Bethesda, MD 20889-0004 | 2020-05-18 |
| 1619599354 | Jacob Mickey Wyse | Student in an Organized Health Care Education/Training Program | 8901 Wisconsin Ave, Bethesda, MD 20889-0004 | 2020-05-16 |
| 1770105413 | Anna M Russell | Student in an Organized Health Care Education/Training Program | 8901 Wisconsin Ave, Bethesda, MD 20889-0004 | 2020-05-16 |
| 1699397364 | Jessica Nicole Clark | Student in an Organized Health Care Education/Training Program | 8901 Wisconsin Ave, Bethesda, MD 20889-0004 | 2020-05-15 |
| 1558983296 | Mason Cleary Ditthardt Fortuno | Military Health Care Provider | 8901 Wisconsin Ave, Bethesda, MD 20889-0004 | 2020-05-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457987034 | Michael Franco | Student in an Organized Health Care Education/Training Program | Internal Medicine - Walter Reed Nmmc, 8901 Wisconsin Avenue, Bethesda, MD 20889 | 2020-03-16 |
| 1245862135 | Kay Tomashek | Pediatrics | National Military Medical Center, 8901 Rockville Pike, Bethesda, MD 20889 | 2020-02-07 |
| 1104470657 | Adam Pink | Dentist | 8901 Wisconsin Ave Building 9 Floor 2, Bethesda, MD 20889 | 2019-08-01 |
| 1659939155 | Matthew Heller | Student in an Organized Health Care Education/Training Program | Psychiatry Walter Reed National Military Medica, 8901 Wisconsin Avenue, Bethesda, MD 20889 | 2019-05-30 |
| 1891258034 | Jane Ann Crotteau | Student in an Organized Health Care Education/Training Program | Pediatrics Walter Reed National Military Medical Center, 8901 Wisconsin Avenue, Bethesda, MD 20889 | 2019-04-12 |
| 1417434341 | Andrea Baeder | Dentist | 8901 Wisconsin Ave Bldg 9, Floor 2, Bethesda, AA 20889 | 2018-07-24 |
| 1942741723 | John Vance | Orthotist | Wrnmmc Orthotics, 8901 Wisconsin Avenue, Bethesda, MD 20889 | 2017-03-14 |
| 1790225704 | Sylvia Best | Pharmacist | 8901 Wisconsin Avenue Wrnmmc-, Americas Building 19- Internal Medicine Suite 2820, Bethesda, MD 20889 | 2017-02-24 |
| 1255783767 | Ryan Kaye | Student in an Organized Health Care Education/Training Program | Nsa Bethesda, 8901 Wisconsin Ave, Bethesda, Md 20889, Fpo, AA 20889 | 2016-07-08 |
| 1366861221 | Tara Elizabeth Brown | Internal Medicine | 8901 Wisconsin Avenue Walter Reed Nmmc, Bethesda, MD 20889 | 2014-04-08 |
| Find all providers in zip 20889 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275145468 | Francine Mefeussom Kamhoua | Nurse Practitioner | 4401 E West Hwy # 504, Bethesda, MD 20814-4523 | 2020-08-19 |
| 1851903454 | Wiseminds Center for Integrative Telepsychiatry | Nurse Practitioner | 4701 Sangamore Rd Ste N100, Bethesda, MD 20816-2558 | 2020-08-17 |
| 1801413448 | Stephine Oparaugo | Nurse Practitioner | 4901 Battery Ln Apt 3, Bethesda, MD 20814-4902 | 2020-06-30 |
| 1295208593 | Mindview Behavioral Health and Wellness | Nurse Practitioner | 6701 Democracy Blvd Ste 300, Bethesda, MD 20817-7500 | 2019-01-09 |
| 1679967889 | Sasha Tova Bergeron | Nurse Practitioner | 8030 Woodmont Ave Fl 3, Bethesda, MD 20814-3027 | 2015-03-25 |
| 1760726525 | Jae Hoon Kim | Nurse Practitioner | 7201 Wisconsin Ave Ste 450, Bethesda, MD 20814-4835 | 2012-11-19 |
| 1093025462 | Chana Rose Engel | Nurse Practitioner | 9000 Rockville Pike Nih Nimh, Bldg 10, Rm 1-3633, Bethesda, MD 20892-0001 | 2010-10-19 |
| 1518953371 | Betsy Brach | Nurse Practitioner | 8313 Fenway Rd, Bethesda, MD 20817-2734 | 2005-09-26 |
| 1033722962 | Francis Aneke | Nurse Practitioner | 10 Center Drive, Bethesda, MD 20892-0001 | 2020-08-29 |
| 1689217143 | Dr. Joanne Psychiatry LLC | Nurse Practitioner | 6701 Democracy Blvd Ste 300, Bethesda, MD 20817-7500 | 2019-10-28 |
| Find all providers in BETHESDA | ||||
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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.