MRS. JENNIFER ELIZABETH SIDDLE (NPI# 1164633293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164633293 |
| Entity Type | Individual |
| Full Name | MRS. JENNIFER ELIZABETH SIDDLE |
| Other Name | MRS. JENNIFER ELIZABETH SIDDLE |
| Credential | FNP-C |
| Practice Address |
2401 W Belvedere Ave Baltimore MD 21215-5216 |
| Mailing Address |
204 Bar Harbor Rd Pasadena MD 21122-3021 |
| Practice Telephone | 4106014600 |
| Practice Fax Number | 4106018448 |
| Mailing Telephone | 4046944884 |
| Mailing Fax Number | 7703399577 |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2019-05-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R231096 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 342540717 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104834860 | Jennifer Duckett Siddle | Psychiatry & Neurology | 1400 Crescent Grn, Suite 120, Cary, NC 27518-8118 | 2006-08-04 |
| Street Address |
2401 W BELVEDERE AVE |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21215-5216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679576086 | Herbert Graham Mathews IIi | Pharmacist | 2401 W Belvedere Ave, Baltimore, MD 21215-5216 | 2005-05-31 |
| 1245837749 | Lea Rose Foster | Physician Assistant | 2401 W Belvedere Ave, Baltimore, MD 21215-5216 | 2020-10-07 |
| 1912504705 | Cassidy Pickles | Physician Assistant | 2401 W Belvedere Ave, Baltimore, MD 21215-5216 | 2020-10-05 |
| 1023623519 | Evelyn Chavez | Physician Assistant | 2401 W Belvedere Ave, Baltimore, MD 21215-5216 | 2020-09-10 |
| 1265046742 | Nomy Thomas Jacob | Nurse Practitioner | 2401 W Belvedere Ave, Baltimore, MD 21215-5216 | 2020-09-02 |
| 1649880931 | Rebecca Rochowiak | Physician Assistant | 2401 W Belvedere Ave, Baltimore, MD 21215-5216 | 2020-08-03 |
| 1407465446 | Alexander James Morgan | Physician Assistant | 2401 W Belvedere Ave, Baltimore, MD 21215-5216 | 2020-07-27 |
| 1184233181 | Danish Mahmud Jilani | Student in an Organized Health Care Education/Training Program | 2401 W Belvedere Ave, Baltimore, MD 21215-5270 | 2020-07-24 |
| 1821616244 | Alisa N Li | Physician Assistant | 2401 W Belvedere Ave, Baltimore, MD 21215-5216 | 2020-07-13 |
| 1407474281 | Sushrutha Sridhar | Student in an Organized Health Care Education/Training Program | 2401 W Belvedere Ave, Baltimore, MD 21215-5216 | 2020-07-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639736796 | Talal Abalkhail | Student in an Organized Health Care Education/Training Program | 2401 W. Belvedere Avenue, Baltimore, Md 21215, Baltimore, MD 21215 | 2019-05-23 |
| 1235795410 | Bilal Khan | Student in an Organized Health Care Education/Training Program | 2041 West Belvedere Avenue, Balitmore, MD 21215 | 2019-05-14 |
| 1669036067 | Nasir M Alhamdan | Student in an Organized Health Care Education/Training Program | Of Baltimore, 2401 West Belvedere Ave, Baltimore, MD 21215 | 2019-05-01 |
| 1851863971 | Brittany Michelle O'neill | Specialist/Technologist | Hearing and Speech Agency, 5900 Metro Drive, Baltimore, MD 21215 | 2018-12-31 |
| 1881164432 | Emily Gamma | Social Worker | 4810 Seton Drive, Baltimore, MD 21215 | 2018-11-27 |
| 1518440478 | Benson Baby | Physical Therapist | 2525west Belveder Ave, Baltimore, MD 21215 | 2018-09-07 |
| 1609360817 | Bonnie Kahler | Clinical Nurse Specialist | 2401 Belvedere Avenue, Baltimore, MD 21215 | 2018-06-20 |
| 1932693843 | Kelley Monica Cohill | Social Worker | Sinai Hospital, Department of Psychiatry, 2440 Cylburn Ave., Baltimore, MD 21215 | 2018-06-15 |
| 1497245609 | Kimberly Beth Koerner | Social Worker | 2401 W. Belvedere Avenue, Baltimore, MD 21215 | 2018-05-14 |
| 1184113078 | Mary Jo Kozel | Registered Nurse | 2401 West Belvedere, Baltimore, MD 21215 | 2018-05-07 |
| Find all providers in zip 21215 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336748672 | Taneka Lee | Nurse Practitioner | 5415 Force Rd, Baltimore, MD 21206-4617 | 2020-10-19 |
| 1750996930 | Ashley Tyisha Sydnor | Nurse Practitioner | 2202 Park Ave Unit 302, Baltimore, MD 21217-4868 | 2020-09-14 |
| 1750992293 | Samantha Rodriguez | Nurse Practitioner | 3989 Boston St, Baltimore, MD 21224-5759 | 2020-08-10 |
| 1265040380 | Pathway To Wellness Healthcare Center | Nurse Practitioner | 6507 Baltimore Ave, Baltimore, MD 21222-4002 | 2020-07-14 |
| 1679107916 | Ugochi Ebiye | Nurse Practitioner | 6 Millwheel Ct, Baltimore, MD 21236-2548 | 2020-02-25 |
| 1417580168 | Tiwalola Olabisi Akinsade | Nurse Practitioner | 1496 Reisterstown Rd Ste 220, Baltimore, MD 21208-3819 | 2020-02-20 |
| 1457996688 | Lashawn S Scott | Nurse Practitioner | 301 Saint Paul Pl Ste 409, Baltimore, MD 21202-2165 | 2019-11-12 |
| 1740825041 | Rosemary Lokko | Nurse Practitioner | 2431 Jefferson St, Baltimore, MD 21205-2543 | 2019-11-10 |
| 1881237972 | Jennifer Lillian Mothershed | Nurse Practitioner | 9101 Franklin Square Dr Ste 212, Baltimore, MD 21237-3948 | 2019-10-22 |
| 1376186775 | Jessica L Mcauliffe | Nurse Practitioner | 720 Rutland Ave # 1125, Baltimore, MD 21205-2109 | 2019-10-18 |
| Find all providers in BALTIMORE | ||||
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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.