MS. KASSANDRA LEA MANAHAN (NPI# 1205328580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205328580 |
| Entity Type | Individual |
| Full Name | MS. KASSANDRA LEA MANAHAN |
| Credential | EMT |
| Practice Address |
13302 Pennsylvania Ave Hagerstown MD 21742-2675 |
| Practice Telephone | 2405133590 |
| Practice Fax Number | 3017974975 |
| Mailing Telephone | 2405133590 |
| Mailing Fax Number | 3017974975 |
| Enumeration Date | 2018-06-04 |
| Last Update Date | 2018-06-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 146N00000X | Emergency Medical Technician, Basic | 0022487 | MD | Emergency Medical Service Providers |
| Street Address |
13302 PENNSYLVANIA AVE |
| City | HAGERSTOWN |
| State | MD |
| Zip Code | 21742-2675 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417318544 | Occupational Health Centers of The Southwest | Clinic/Center | 13302 Pennsylvania Ave, Hagerstown, MD 21742-2675 | 2016-03-17 |
| 1710549654 | Rachel Marie Hommer | Emergency Medical Technician, Basic | 13302 Pennsylvania Ave, Concentra, Hagerstown, MD 21740-2675 | 2019-07-01 |
| 1336617554 | Sarah Loraw | Emergency Medical Technician, Basic | 13302 Pennsylvania Ave, Hagerstown, MD 21742-2675 | 2018-11-06 |
| 1255824785 | Tiara Brown | Registered Nurse | 13302 Pennsylvania Ave, Hagerstown, MD 21742-2675 | 2018-06-09 |
| 1265937023 | Renee Michele Crawford | Registered Nurse | 13302 Pennsylvania Ave, Hagerstown, MD 21742-2675 | 2018-03-26 |
| 1851892335 | Marlene Elizabeth Facine | Registered Nurse | 13302 Pennsylvania Ave, Hagerstown, MD 21742-2675 | 2018-02-21 |
| 1952765901 | Concentra Primary Care Pa | Clinic/Center | 13302 Pennsylvania Ave, Hagerstown, MD 21742-2675 | 2016-04-06 |
| 1316301369 | American Current Care | Clinic/Center | 13302 Pennsylvania Ave, Hagerstown, MD 21742-2675 | 2016-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154950251 | Caleb Lougheed | Student in an Organized Health Care Education/Training Program | Meritus Family Medicine Residency Program, 11110 Medical Campus Road, Suite 200, Hagerstown, MD 21742 | 2020-04-02 |
| 1770054900 | Katherine E Spann | Physician Assistant | Meritus Medical Center, 11116 Medical Campus Road, Hagerstown, MD 21742 | 2018-12-16 |
| 1760988950 | Kelli Jones | Nurse Anesthetist, Certified Registered | 11116 Medical Center, Hagerstown, MD 21742 | 2018-04-05 |
| 1740706324 | Michael E. Anderson, Dds, PC | Dentist | 18709 Crestwood Drive, Hagerstown, MD 21742 | 2017-08-16 |
| 1407387384 | Cynthia Brendle | Physical Therapy Assistant | 19800 Tranquility Circle, Robinwood Campus, Hagerstown, MD 21742 | 2017-03-23 |
| 1326411877 | Structural Elements, LLC | Acupuncturist | 13214 Fountainhead Plaza, Hagerstown, MD 21742 | 2015-11-05 |
| 1386057396 | Ma Pamela Borden | Occupational Therapist | 506 Lynnehaven Drive, Apartment G, Hagerstown, MD 21742 | 2014-06-06 |
| 1275971251 | Arti Babubhai Patel | Denturist | 13133 Gentry Drive, Hagerstown, MD 21742 | 2013-06-12 |
| 1063859551 | Premise Health of Maryland Medical P C | Clinic/Center | 13403 Volvo Way, Medical Suite, Hagerstown, MD 21742 | 2013-05-24 |
| 1386938363 | Rocky Mountain Holdings LLC | Ambulance | 18539 Henson Blvd, Hagerstown, MD 21742 | 2011-06-07 |
| Find all providers in zip 21742 | ||||
| Taxonomy Code | 146N00000X |
| Grouping | Emergency Medical Service Providers |
| Classification | Emergency Medical Technician, Basic |
| A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards. |
| Notes: Sources: Tabers Medical Dictionary and Florida EMS Clearing House. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710549654 | Rachel Marie Hommer | Emergency Medical Technician, Basic | 13302 Pennsylvania Ave, Concentra, Hagerstown, MD 21740-2675 | 2019-07-01 |
| 1396213419 | Miyah Nicole Carpenter | Emergency Medical Technician, Basic | 13403 Volvo Way, Hagerstown, MD 21742-3810 | 2018-11-06 |
| 1336617554 | Sarah Loraw | Emergency Medical Technician, Basic | 13302 Pennsylvania Ave, Hagerstown, MD 21742-2675 | 2018-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538785472 | Spencer Sallee | Emergency Medical Technician, Basic | 6709 Annan Dr, Bethesda, MD 20816-1021 | 2020-06-16 |
| 1255952834 | Julie White | Emergency Medical Technician, Basic | 29453 Golton Dr, Easton, MD 21601-7103 | 2020-05-05 |
| 1831710805 | Mark Edward Driscoll | Emergency Medical Technician, Basic | 212 Quail Run Dr, Centreville, MD 21617-2301 | 2020-05-01 |
| 1629637152 | Collin Michael Papenfuss | Emergency Medical Technician, Basic | 5200 Southwestern Blvd, Baltimore, MD 21227-2820 | 2019-06-09 |
| 1740732262 | Total Wellness Medical Center LLC | Emergency Medical Technician, Basic | 4000 Mitcheville Road, B322, Bowie, MD 20716-0000 | 2016-11-01 |
| 1336533298 | Rebekah Everett | Emergency Medical Technician, Basic | 11837 Tower Hamlets Pl, Waldorf, MD 20602-6122 | 2015-03-27 |
| 1154723419 | Sarah Koehn | Emergency Medical Technician, Basic | 20916 Old York Rd, Parkton, MD 21120-9135 | 2014-09-18 |
| 1356611271 | Yayoh Kamara | Emergency Medical Technician, Basic | 9923 Good Luck Rd Apt 204, Lanham, MD 20706-3247 | 2012-01-10 |
| 1225329345 | Nicole Williams | Emergency Medical Technician, Basic | 10400 Stevenson Rd Ste 102, Stevenson, MD 21153-0600 | 2011-04-23 |
| 1821265505 | Jeremey Leonard Weiss | Emergency Medical Technician, Basic | 555 Belmawr Pl, Millersville, MD 21108-1561 | 2008-05-13 |
| Find all providers with the same taxonomy | ||||
| City | HAGERSTOWN |
| Zip Code | 21742 |
Please comment or provide details below to improve the information on MS. KASSANDRA LEA MANAHAN.
| 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.