MS. CLARISSA MCCUDDEN DARR (NPI# 1174653901) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174653901 |
| Entity Type | Individual |
| Full Name | MS. CLARISSA MCCUDDEN DARR |
| Credential | RN |
| Practice Address |
1434 Porter St Barquist Clinc, Ft Detrick Frederick MD 21702-9254 |
| Mailing Address |
15500 Villisca Ter Derwood MD 20855-2711 |
| Practice Telephone | 3016198096 |
| Practice Fax Number | 3016192064 |
| Mailing Telephone | 3017623557 |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2013-07-09 |
| 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 |
RN37188 | DC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1434 PORTER ST BARQUIST CLINC, FT DETRICK |
| City | FREDERICK |
| State | MD |
| Zip Code | 21702-9254 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205242310 | Kimbrough Acc Military Mtf | Military/U.S. Coast Guard Pharmacy | 1434 Porter St, Frederick, MD 21702-9254 | 2014-07-09 |
| 1700174018 | Monica Ivone Zeballos | Pharmacist | 1434 Porter St, Frederick, MD 21702-9254 | 2011-07-20 |
| 1871766642 | Paul Denis Manny | Physical Therapist | 1434 Porter St, Frederick, MD 21702-9254 | 2008-04-11 |
| 1710106851 | Marie L Mcdonough | Registered Nurse | 1434 Porter St, Frederick, MD 21702-9210 | 2007-04-25 |
| 1548489685 | Erica Lashon Henderson | Licensed Practical Nurse | 1434 Porter St, Frederick, MD 21702-9210 | 2007-04-25 |
| 1841419801 | Gary Crotteau | Licensed Practical Nurse | 1434 Porter St, Frederick, MD 21702-9210 | 2007-04-25 |
| 1053530139 | Carol Tobias | Registered Nurse | 1434 Porter St, Frederick, MD 21702-9210 | 2007-04-25 |
| 1831318591 | Heidi Maria Chaney | Registered Nurse | 1434 Porter St, Frederick, MD 21702-9210 | 2007-04-24 |
| 1295954709 | Marilyn Lamb | Licensed Practical Nurse | 1434 Porter St, Frederick, MD 21702-9210 | 2007-04-24 |
| 1568681088 | Janice Condrey | Registered Nurse | 1434 Porter St, Frederick, MD 21702-9210 | 2007-04-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073129714 | Rita Akowuah | Nurse Practitioner | 1302 Baker Place East Apt 14, Frederick, MD 21702 | 2020-09-18 |
| 1912416272 | Morgan Nicely | Behavior Technician | 65 Thomas Johnson Drive Suite A, Frederick, MD 21702 | 2017-09-29 |
| 1154840494 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 184 Thomas Johnson Dr Ste 104, Frederick, MD 21702 | 2017-09-19 |
| 1831617471 | Hazel Elizabeth Gill | Physical Therapy Assistant | 2007 Butterfield Overlook, Frederick, MD 21702 | 2017-09-05 |
| 1831610161 | William Haynes | Nurse Practitioner | 103 Water Land Ct., Frederick, MD 21702 | 2017-06-27 |
| 1497299333 | Timothy Stimach | Pharmacist | 1430b W Patrick St, Frederick, MD 21702 | 2016-12-12 |
| 1184167405 | Maryland Nutrition and Diet Services, L.L.C. | Dietitian, Registered | 1301 W. 7th Street, No. 1607, Frederick, MD 21702 | 2016-11-18 |
| 1649649468 | Oluwakemi Olubunmi Osidele | Nurse Practitioner | 188 Thomas Johnson Dr Ste 102, Frederick, MD 21702 | 2015-09-22 |
| 1841678562 | Ventzislava Hristova | Spec/Tech, Pathology | 1050 Boyles St. Building 560 Room 12-39, National Cancer Institute - Frederick, Frederick, MD 21702 | 2015-05-14 |
| 1023404571 | Mychal Lynn Pilia | Advanced Practice Midwife | 7420 Hayward Road, Suite 104, Frederick, MD 21702 | 2015-04-11 |
| Find all providers in zip 21702 | ||||
| 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 |
|---|---|---|---|---|
| 1821560525 | Titus Koimur | Nurse Practitioner | 107 Bierstadt Ct, Frederick, MD 21702-6442 | 2018-12-19 |
| 1508338203 | Joel Griffith | Nurse Practitioner | 251 W Patrick St, Frederick, MD 21701-6942 | 2018-12-19 |
| 1831610161 | William Haynes | Nurse Practitioner | 103 Water Land Ct., Frederick, MD 21702 | 2017-06-27 |
| 1235672205 | Julie Ann Dagenhart | Nurse Practitioner | 1003 W 7th St Ste 403, Frederick, MD 21701-8532 | 2016-11-23 |
| 1689286197 | Kelly Amike Ngenge | Nurse Practitioner | 107 Bierstadt Ct, Frederick, MD 21702-6442 | 2020-08-18 |
| 1477197424 | Jaclyn Blaire Daugherty | Nurse Practitioner | 604 Solarex Ct Unit 201, Frederick, MD 21703-8655 | 2019-11-03 |
| 1386298768 | Molly Kathryn Aitken | Nurse Practitioner | 1003 W 7th St Ste 403, Frederick, MD 21701-8532 | 2019-07-24 |
| 1457844722 | Phoebe Antoinette Underwood-davis | Nurse Practitioner | 5301 Buckeystown Pike Ste 170, Frederick, MD 21704 | 2018-06-12 |
| 1730677121 | Michelle Lynn Ridgeway | Nurse Practitioner | 400 W 7th St, Frederick, MD 21701 | 2018-05-01 |
| 1295270445 | Carolyn Calleo | Nurse Practitioner | 604 Solarex Ct, Suite 201, Frederick, MD 21703-7005 | 2016-12-27 |
| Find all providers in FREDERICK | ||||
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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.