DR. ESTHER OPEMIPO SHADARE


Address: 420 Chinquapin Round Rd Ste 2i, Annapolis, MD 21401-4006
Phone: 4109901811

DR. ESTHER OPEMIPO SHADARE (NPI# 1245609775) 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) 1245609775
Entity Type Individual
Full Name DR. ESTHER OPEMIPO SHADARE
Credential DNP
Practice Address 420 Chinquapin Round Rd Ste 2i
Annapolis
MD 21401-4006
Mailing Address 2439 Killarney Terrace
Odenton
MD 21113-3760
Practice Telephone 4109901811
Practice Fax Number 4439497379
Enumeration Date 2015-09-15
Last Update Date 2018-03-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363L00000X Nurse Practitioner RN1030978 DC Physician Assistants & Advanced Practice Nursing Providers
N 363LF0000X Nurse Practitioner
Specialization: Family
R206030 MD Physician Assistants & Advanced Practice Nursing Providers
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
R206030 MD Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
28 Magothy Beach Rd, Pasadena, MD 211224428 4106952900
2439 Killarney Ter, Odenton, MD 211133760 4106952900

Office Location

Street Address 420 CHINQUAPIN ROUND RD STE 2I
City ANNAPOLIS
State MD
Zip Code 21401-4006

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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1427320100 Jennifer L Wilhelm Nurse Practitioner 2635 Riva Rd, Annapolis, MD 21401-7430 2012-01-27
1285941641 Victoria Kennedy Tyson Nurse Practitioner 175 Admiral Cochrane Dr Ste 110, Annapolis, MD 21401 2010-09-08

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Competitor

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City ANNAPOLIS
Zip Code 21401

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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