MS. KASSANDRA LEA MANAHAN


Address: 13302 Pennsylvania Ave, Hagerstown, MD 21742-2675
Phone: 2405133590

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 146N00000X Emergency Medical Technician, Basic 0022487 MD Emergency Medical Service Providers

Office Location

Street Address 13302 PENNSYLVANIA AVE
City HAGERSTOWN
State MD
Zip Code 21742-2675

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 146N00000X
Grouping Emergency Medical Service Providers
Classification Emergency Medical Technician, Basic

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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

Competitor

Search similar providers

City HAGERSTOWN
Zip Code 21742

Improve Information

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Dataset Information

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.

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