MARYBETH MISSENDA (NPI# 1225304124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225304124 |
| Entity Type | Individual |
| Full Name | MARYBETH MISSENDA |
| Credential | RPH |
| Practice Address |
16833 Holly Way Accokeek MD 20607-9714 |
| Mailing Address |
7045 Berry Rd Unit A5 Box 361 Accokeek MD 20607-3440 |
| Practice Telephone | 4123342501 |
| Mailing Telephone | 4123342501 |
| Enumeration Date | 2012-03-26 |
| Last Update Date | 2012-03-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835N1003X |
Pharmacist Specialization: Nutrition Support |
RP036731L | PA | Pharmacy Service Providers |
| N | 1835N1003X |
Pharmacist Specialization: Nutrition Support |
PH100000044 | DC | Pharmacy Service Providers |
| Street Address |
16833 HOLLY WAY |
| City | ACCOKEEK |
| State | MD |
| Zip Code | 20607-9714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376061978 | Teresa Whigham | Occupational Therapist | 2206 Green Ginger Circle, Accokeek, MD 20607 | 2017-09-03 |
| 1538610373 | Kanita Hughes | Assisted Living Facility | 13809 Dr Edelen Dr, Accokeek, MD 20607 | 2016-10-17 |
| 1760807986 | Tayler Swilling | Social Worker | 18700 Rodney Ct, Accokeek, MD 20607 | 2014-02-25 |
| 1902134828 | Anita Brock | Physician Assistant | 207 Farmington Road West, Accokeek, MD 20607 | 2009-12-04 |
| 1548320765 | Almighty Time Investments Inc | Non-emergency Medical Transport (VAN) | 104 Mattawoman Way, Accokeek, MD 20607 | 2006-12-11 |
| 1356449334 | The Healthcare Agency Corp | Case Management | 2301 Green Ginger Cir., Accokeek, MD 20607 | 2006-09-21 |
| 1932641511 | J&d Fant Family Services | Community/Behavioral Health | 15113 S Jenkins Ct, Accokeek, MD 20607-2001 | 2016-11-14 |
| 1558867028 | Deborah Hammett | Contractor | 15502 Emily Ct, Accokeek, MD 20607-2041 | 2018-04-03 |
| 1134588635 | Sheila Kelly | Nutritionist | 15705 Henrietta Dr, Accokeek, MD 20607-2059 | 2016-02-12 |
| 1285143826 | Kimberly Cecelia Ward | Social Worker | 15854 Livingston Rd, Accokeek, MD 20607-2220 | 2017-09-27 |
| Find all providers in zip 20607 | ||||
| Taxonomy Code | 1835N1003X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Nutrition Support |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in maintenance and/or restoration of optimal nutritional status, designing and modifying treatment according to patient needs. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356619662 | Michael Moses | Pharmacist | 3210 Marnat Rd, Pikesville, MD 21208 | 2011-12-01 |
| 1821126228 | Don Kock Yee | Pharmacist | 1500 Forest Glenn Road, Silver Spring, MD 20910 | 2007-02-28 |
| 1225229206 | Corrinne Kulick | Pharmacist | 10903 New Hampshire, Wo Bldg 22 Room 3465, Silver Spring, MD 20993-0002 | 2007-08-06 |
Please comment or provide details below to improve the information on MARYBETH MISSENDA.
| 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.