CLEMENTINE OKIE (NPI# 1205468030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205468030 |
| Entity Type | Individual |
| Full Name | CLEMENTINE OKIE |
| Practice Address |
12412 Dorsey Ln Upper Marlboro MD 20772-5372 |
| Practice Telephone | 2024136929 |
| Mailing Telephone | 2024136929 |
| Enumeration Date | 2020-02-10 |
| Last Update Date | 2020-02-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WG0600X |
Registered Nurse Specialization: Gerontology |
R196829 | MD | Nursing Service Providers |
| Street Address |
12412 DORSEY LN |
| City | UPPER MARLBORO |
| State | MD |
| Zip Code | 20772-5372 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497355077 | Doris Lynn Perkins | Pharmacist | 5700 Southeast Crain Hwy, Upper Marlboro, MD 20772 | 2020-10-31 |
| 1730790221 | Creative Mind Therapy | Community/Behavioral Health | 12419 Dorsey Ln, Upper Marlboro, MD 20772 | 2020-08-10 |
| 1932727369 | Shaquitta Morton | Behavior Technician | 9440 Marlboro Pike 100, Upper Marlboro, MD 20772 | 2020-07-13 |
| 1760022958 | Keri Daniel | Nurse Practitioner | 9723 Frank Tippett Rd, Upper Marlboro, MD 20772 | 2020-01-15 |
| 1932668134 | Dentistry for Children of Maryland, LLC | Clinic/Center | 9616 Marlboro Pike, Upper Marlboro, MD 20772 | 2019-03-18 |
| 1033673918 | Shonte Renee Drakeford | Nurse Practitioner | 6610 Woodyard Road, Upper Marlboro, MD 20772 | 2019-01-25 |
| 1902391261 | Myenne Hanson | Home Health Aide | 5002 Ashford Dr, Upper Marlboro, MD 20772 | 2018-06-28 |
| 1659884849 | Clement Okehie | Home Health Aide | 13939 Bishops Bequest Rd, Upper Marlboro, MD 20772 | 2017-11-09 |
| 1497264766 | Fatu Barrie | Technician | 11112 Cranfod Drive, Upper Marlboro, MD 20772 | 2017-09-29 |
| 1801315080 | Hope Academy & Nursing Services | Nursing Care | 14101 Christian Street, Upper Marlboro, MD 20772 | 2017-09-19 |
| Find all providers in zip 20772 | ||||
| Taxonomy Code | 163WG0600X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013549823 | Cinderella Samandi | Registered Nurse | 23025 Birch Mead Rd, Clarksburg, MD 20871-4438 | 2020-02-10 |
| 1922579010 | Lelia M. Reed | Registered Nurse | 8195 Heron Ln, Lusby, MD 20657-2029 | 2018-12-16 |
| 1811404593 | Vanessa Ekene Okolie | Registered Nurse | 1800 Orleans St # Md, Baltimore, MD 21287-0010 | 2018-01-04 |
| 1912199415 | Optum Care Services Company | Registered Nurse | 10175 Little Patuxent Pkwy Fl 6, Columbia, MD 21044-2655 | 2007-08-17 |
| 1497817373 | Claudette Emmeline Demetrius | Registered Nurse | 16220 Fredrick Ave, #12, Geithersberg, MD 20877 | 2006-12-15 |
| 1609969856 | Maureen King Kilby | Registered Nurse | Perry Point Va, Perry Point, MD 21902 | 2006-10-02 |
| 1720019805 | Catherine Igo | Registered Nurse | 6213 Burgess Ave, Baltimore, MD 21214-1829 | 2006-07-06 |
| 1013469576 | Sonja Stanton | Registered Nurse | 5601 Loch Raven Blvd, Baltimore, MD 21239-2945 | 2016-11-01 |
| 1417952953 | Craig S Zylka | Registered Nurse | 2 North Ave, Ste 101, Bel Air, MD 21014-2303 | 2005-06-20 |
| 1497750947 | Beth Yarnold | Registered Nurse | 615 W Macphail Rd, Ste 106, Bel Air, MD 21014-4393 | 2005-06-20 |
| Find all providers with the same taxonomy | ||||
| City | UPPER MARLBORO |
| Zip Code | 20772 |
Please comment or provide details below to improve the information on CLEMENTINE OKIE.
| 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.