MRS. VICKY ADAM JENNIFER (NPI# 1164763371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164763371 |
Entity Type | Individual |
Full Name | MRS. VICKY ADAM JENNIFER |
Credential | HOME HEALTH AIDE |
Practice Address |
2502 Sant Joseph Dr Bowie MD 20721 |
Mailing Address |
2502 Saint Josephs Dr Bowie MD 20721-2995 |
Practice Telephone | 3012564505 |
Mailing Telephone | 3012564505 |
Enumeration Date | 2013-03-13 |
Last Update Date | 2013-03-13 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WH0200X |
Registered Nurse Specialization: Home Health |
7902 | MD | Nursing Service Providers |
Street Address |
2502 SANT JOSEPH DR |
City | BOWIE |
State | MD |
Zip Code | 20721 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124683768 | Lucie Bakop | Nurse Practitioner | 1217 Kingsbury Drive, Bowie, MD 20721 | 2019-05-09 |
1699245258 | Rita Nkilo Chofong | Home Health Aide | 1810 Sahara Lane, Bowie, MD 20721 | 2018-11-27 |
1215416136 | Mbah Charles | Home Health Aide | 3705 Clayton Dr, Bowie, MD 20721 | 2018-08-10 |
1730678061 | Isabell Home Care Assisted Living LLC | Assisted Living Facility | 11609 Candor Drive, Bowie, MD 20721 | 2018-05-02 |
1619486974 | Orthatech Inc | Durable Medical Equipment & Medical Supplies | 12138 Central Ave #777, Suite 961, Mitchelville, MD 20721 | 2017-09-29 |
1780103994 | Rosefidelis Omnicare, LLC | Registered Nurse | 3815 Alta Vista Drive, Bowie, MD 20721 | 2017-09-19 |
1013436070 | Adisatu Renner | Counselor | 4202 Taverngreen Lane, Bowie, MD 20721 | 2017-09-11 |
1730607375 | Hope Inyamah Coston | Student in an Organized Health Care Education/Training Program | 12158 Central Avenue, Mitchellville, MD 20721 | 2017-09-05 |
1982121463 | Awal A Aziz | Specialist/Technologist, Other | 14303 Duncannon Court, Bowie, MD 20721 | 2017-08-25 |
1851841555 | Emmanuel K Tanyi | Home Health Aide | 10971 Spyglass Hill, Bowie, MD 20721 | 2016-10-06 |
Find all providers in zip 20721 |
Taxonomy Code | 163WH0200X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Home Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205433679 | Ecia Mirian Tanu | Registered Nurse | 2600 Wallingford Ct, Bowie, MD 20721-3183 | 2020-10-07 |
1871104596 | Yashica Nakitia Ladejobi | Registered Nurse | 11511 Chantilly Ln, Bowie, MD 20721-2126 | 2020-08-14 |
1841834181 | Scw Healthcare Enterprises | Registered Nurse | 3032 Mitchellville Rd Ste 102, Bowie, MD 20716-1482 | 2019-10-30 |
1578125795 | Daisy's Love, LLC | Registered Nurse | 4405 Huntchase Dr, Bowie, MD 20720-3560 | 2019-07-09 |
1003371279 | Ignatius Ngobili | Registered Nurse | 10611 Foxlake Dr, Bowie, MD 20721-2604 | 2019-02-01 |
1306328497 | Patrick E Okpa | Registered Nurse | 15306 Echols Ct, Bowie, MD 20716-1266 | 2018-09-05 |
1164963823 | Joseph Tezi | Registered Nurse | 14013 Westview Forest Dr, Bowie, MD 20720-4867 | 2017-03-14 |
1598209660 | Eunice Perry | Registered Nurse | 14566 London Ln, Bowie, MD 20715-2557 | 2016-12-08 |
1487004859 | Magalie Stacie Lamour | Registered Nurse | 12809 Odens Bequest Dr, Bowie, MD 20720-5615 | 2016-06-16 |
1114265527 | Afeez O Babatunde | Registered Nurse | 1259 Stockport Ct, Bowie, MD 20721-1837 | 2013-01-18 |
Find all providers in BOWIE |
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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.