TAWANNA ANDERSON (NPI# 1174026462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174026462 |
| Entity Type | Individual |
| Full Name | TAWANNA ANDERSON |
| Practice Address |
1108 Kayak Ave Capitol Heights MD 20743-4043 |
| Practice Telephone | 2024806444 |
| Mailing Telephone | 2024806444 |
| Enumeration Date | 2018-03-13 |
| Last Update Date | 2018-03-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers | ||
| N | 374U00000X | Home Health Aide | DC | Nursing Service Related Providers |
| Street Address |
1108 KAYAK AVE |
| City | CAPITOL HEIGHTS |
| State | MD |
| Zip Code | 20743-4043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902417967 | Orimashe Abdulsalam Jimoh | Physical Therapist | 1801 Richie Station Court, Suite 200, Capitol Heights, MD 20743 | 2020-08-13 |
| 1184249633 | Breona Chanel Washington | Driver | 6974 Walker Mill Rd Apt A1, Capitol Heights, MD 20743 | 2020-06-10 |
| 1568931905 | Adedeji Charles Olagunju | Driver | 415 70th Street, Capitol Heights, MD 20743 | 2018-11-15 |
| 1568967917 | Niaisa Harvey | Technician | 5811 Walker Mill Rd, District Heights, MD 20743 | 2018-03-28 |
| 1083118582 | S Valencia Tyrell | Prevention Professional | 920 Capitol Heights Blvd, Suite #b, Capitol Heights, MD 20743 | 2018-03-20 |
| 1760901854 | Detailing Minds, Inc. | Secured Medical Transport (VAN) | 513 Millwheel Street, Capitol Heights, MD 20743 | 2017-09-11 |
| 1255860334 | Cornelia Reeder | Home Health Aide | 1110 Dunbar Oaks Dr, Capitol Heights, MD 20743 | 2017-06-12 |
| 1164978912 | Family and Medical Counseling Service, Inc | Clinic/Center | 5936 Martin Luther King Jr Hwy, Capitol Heights, MD 20743 | 2016-08-31 |
| 1629447297 | Tiffany Welch | Case Manager/Care Coordinator | 5290 Marlboro Pike, Apt 101, Capitol Heights, MD 20743 | 2015-09-24 |
| 1659740348 | Adventures One, Inc. | Clinic/Center | 5400 Norfield Rd., Capitol Heights, MD 20743 | 2015-09-23 |
| Find all providers in zip 20743 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386270874 | Joi Khadijah Williams | Technician | 810 Glacier Ave, Capitol Heights, MD 20743-3903 | 2020-03-17 |
| 1235789405 | Gregory Daniels | Technician | 7300 Hastings Dr, Capitol Heights, MD 20743-2621 | 2019-09-18 |
| 1124678644 | Delores N/a Carr | Technician | 1701 Ruston Ave, Capitol Heights, MD 20743-5326 | 2019-09-17 |
| 1659925188 | Vetera Graves | Technician | 935 Clovis Ave, Capitol Heights, MD 20743-3944 | 2019-08-01 |
| 1881258010 | Bertram Roy Blair | Technician | 818 Booker Pl, Capitol Heights, MD 20743-1840 | 2019-04-23 |
| 1235693649 | Kemonia Dyer | Technician | 1306 Nye St, Capitol Heights, MD 20743-1243 | 2019-01-30 |
| 1558849737 | Alice Murphy | Technician | 1919 Brooks Dr Apt 303, Capitol Heights, MD 20743-5520 | 2018-07-31 |
| 1891289047 | Denee Arnett | Technician | 1937 Brooks Dr Apt 101, Capitol Heights, MD 20743-5537 | 2018-06-20 |
| 1558862672 | Joyce Neeley | Technician | 419 Topeka Ave, Capitol Heights, MD 20743-3030 | 2018-02-23 |
| 1932608320 | Darnell Leon Robinson | Technician | 1810 Arcadia Ave, Capitol Heights, MD 20743-5703 | 2018-02-12 |
| Find all providers in CAPITOL HEIGHTS | ||||
| City | CAPITOL HEIGHTS |
| Zip Code | 20743 |
Please comment or provide details below to improve the information on TAWANNA ANDERSON.
| 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.