MRS. CAMILLE LANETTE AWANDA (NPI# 1194909291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194909291 |
| Entity Type | Individual |
| Full Name | MRS. CAMILLE LANETTE AWANDA |
| Credential | FNP |
| Practice Address |
8111 Evening Star Dr Suite 319 Pasadena MD 21122-2399 |
| Practice Telephone | 3013437514 |
| Practice Fax Number | 2023152511 |
| Enumeration Date | 2007-12-26 |
| Last Update Date | 2016-11-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | R167439 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
0024171139 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN1004831 | DC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
R167439 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
8111 EVENING STAR DR SUITE 319 |
| City | PASADENA |
| State | MD |
| Zip Code | 21122-2399 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740889211 | Hyunji Lee | Pharmacist | 8107 Governor Ritchie Highway, Pasadena, MD 21122 | 2020-10-25 |
| 1538712625 | Liri Fusha | Clinic/Center | 8221 Richie Hwy Suit #102, Pasadena, MD 21122 | 2019-07-18 |
| 1730649922 | Barrett Arthur Tollenger | Counselor | 2825 Mountain Road, Suite 204, Pasadena, MD 21122 | 2019-03-22 |
| 1750849543 | Bradley J Spoon | Counselor | 8028 Ritchie Highway St. 312, Pasadena, MD 21122 | 2019-03-11 |
| 1366916553 | Brittney Byrd | Behavior Technician | 7759 Middlegate Ct, Pasadena, MD 21122 | 2019-01-22 |
| 1780154310 | Amanda Ann Zeller | Speech-Language Pathologist | 8515 Jenkins Road, Pasadena, MD 21122 | 2018-11-27 |
| 1225531544 | Anne Arundel-sca Surgicenter, LLC | Clinic/Center | 8109 Ritchie Hwy Ste 250, Pasadena, MD 21122 | 2018-03-13 |
| 1629577424 | Anne Arundel Physician Group, LLC | Obstetrics & Gynecology | 18 Magothy Beach Road Suite A, Pasadena, MD 21122 | 2018-02-07 |
| 1063968261 | Chinedu Ikpemo | Pharmacist | 8051 Fort Smallwood Rd, Pasadena, MD 21122 | 2016-08-28 |
| 1053728634 | Wisecare, LLC | Clinic/Center | 33 Magothy Beach Rd, Suite 102-103, Pasadena, MD 21122 | 2014-07-16 |
| Find all providers in zip 21122 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295342772 | Gilead Associates LLC | Nurse Practitioner | 206 Mulberry Ridge Ct, Pasadena, MD 21122-7514 | 2020-09-28 |
| 1497302418 | Riane Suzanne Thrasher | Nurse Practitioner | 354 Mountain Rd # G1158, Pasadena, MD 21122-1158 | 2019-08-23 |
| 1750866414 | Joyce Marie Shedrick | Nurse Practitioner | 5050 Crenshaw Rd Ste 200, Pasadena, TX 77505-3139 | 2018-09-28 |
| 1831687185 | Stephanie Lynn Shortes | Nurse Practitioner | 6503 Saint Jude Dr, Pasadena, TX 77505-5450 | 2018-04-23 |
| 1235683418 | Sharon Li | Nurse Practitioner | 4001 Preston Rd #100, Pasadena, TX 77505 | 2016-08-05 |
| 1104297035 | Ashley Harris | Nurse Practitioner | 630 S Raymond Ave Unit 340, Pasadena, CA 91105-3206 | 2015-10-19 |
| 1548682750 | Prestige Healthcare LLC | Nurse Practitioner | 4235 Fernside Dr, Pasadena, TX 77505-4226 | 2014-01-08 |
| 1184051856 | Maureen Ann Carr | Nurse Practitioner | 67 El Nido Ave, Pasadena, CA 91107 | 2013-09-26 |
| 1467776096 | Hamida Khanmohammed | Nurse Practitioner | 393 East Walnut Street, Pasadena, Ca 91188, Southern California Permanente Medical Group, Pasadena, CA 91188 | 2010-03-25 |
| 1215122502 | Yustini J. Mente | Nurse Practitioner | 524 Palisade St, Pasadena, CA 91103-2056 | 2007-09-10 |
| Find all providers in PASADENA | ||||
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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.