CONNI NEVILLS (NPI# 1255730131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255730131 |
| Entity Type | Individual |
| Full Name | CONNI NEVILLS |
| Credential | CRNP |
| Practice Address |
7610 Carroll Ave Suite 400 Takoma Park MD 20912-6384 |
| Mailing Address |
9312 Colesville Rd Suite 400 Silver Spring MD 20901-4818 |
| Practice Telephone | 3018916841 |
| Mailing Telephone | 3014670446 |
| Enumeration Date | 2014-08-18 |
| Last Update Date | 2016-10-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
R193200 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
7610 CARROLL AVE SUITE 400 |
| City | TAKOMA PARK |
| State | MD |
| Zip Code | 20912-6384 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942205398 | Smith S. Ho, Md, Pa | Internal Medicine | 7610 Carroll Ave, Ste 280, Takoma Park, MD 20912-6302 | 2005-06-14 |
| 1508409541 | Amanda Polhemus | Nurse Practitioner | 7610 Carroll Ave, Takoma Park, MD 20912-6384 | 2019-10-22 |
| 1073055950 | Adventist Physician Services, Inc. | Clinic/Center | 7610 Carroll Ave, Suite 420, Takoma Park, MD 20912-6384 | 2016-11-09 |
| 1104287036 | Chinatu P. Ego-osuala LLC | Dentist | 7610 Carroll Ave, 480, Takoma Park, MD 20912-6384 | 2016-03-20 |
| 1235504150 | Meaghan Butler | Dietitian, Registered | 7610 Carroll Ave, Suite 350, Takoma Park, MD 20912-6384 | 2015-12-03 |
| 1386017119 | Lauren Schmittle | Dietitian, Registered | 7610 Carroll Ave, Suite 350, Takoma Park, MD 20912-6384 | 2015-11-02 |
| 1659752467 | Marcellus R. Cephas Md LLC | Counselor | 7610 Carroll Ave, Suite 200, Takoma Park, MD 20912-6384 | 2015-06-17 |
| 1790192656 | Leela A Chacko Md LLC | Clinic/Center | 7610 Carroll Ave, Suite 390, Takoma Park, MD 20912-6384 | 2014-07-12 |
| 1659701027 | Paul R O'keeffe | Social Worker | 7610 Carroll Ave, Suite 200, Takoma Park, MD 20912-6312 | 2013-11-20 |
| 1407282866 | Vascular Centers of America LLC | Internal Medicine | 7610 Carroll Ave, Suite 100, Takoma Park, MD 20912-6384 | 2013-09-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841898426 | Takoma Park Gynecology LLC | Advanced Practice Midwife | 7050 Carroll, Suite 201, Takoma Park, MD 20912 | 2020-10-15 |
| 1669094470 | Alba Oliver-cephas | Counselor | 7610 Carroll Ave Suite 200, Takoma Park, MD 20912 | 2020-05-14 |
| 1689173650 | Fate Geleto | Home Health Aide | 6733 Newhampshire Ave#410, Takoma Park, MD 20912 | 2018-02-06 |
| 1437658549 | Hanna I-hwa Schmittat | Acupuncturist | 7120 Carroll Ave, Takoma Park, MD 20912 | 2018-02-04 |
| 1467960443 | Elaborate Home Health Care Services | Clinic/Center | 6480 New Hampshire Ave Ste 301b, Takoma Park, MD 20912 | 2018-01-12 |
| 1093223174 | Walinjom Feh Nanette | Home Health Aide | 664 Fairview Ave, Takoma Park, MD 20912 | 2018-01-11 |
| 1902312978 | Phucho Philomina | Home Health | 6731 New Hampshire Avenue, 601, Takoma Park, MD 20912 | 2017-12-28 |
| 1154848075 | Madge Richards Quesenberry | Counselor | 7600 Flower Avenue, Washington Adventist University Counseling Center, Takoma Park, MD 20912 | 2017-08-23 |
| 1083061386 | Arlette Ankouong | Nurse's Aide | 766 Fairview Ave, Apt 2, Takoma Park, MD 20912 | 2016-05-17 |
| 1275988487 | Betrand Anyam | Home Health Aide | 777 Maple Avenue, Apt 1101, Takoma Park, MD 20912 | 2016-04-26 |
| Find all providers in zip 20912 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508409541 | Amanda Polhemus | Nurse Practitioner | 7610 Carroll Ave, Takoma Park, MD 20912-6384 | 2019-10-22 |
| 1912478199 | Kathleen Claire Breuninger | Nurse Practitioner | 7610 Carroll Ave Ste 400, Takoma Park, MD 20912-6321 | 2018-12-16 |
| 1497080964 | Berthlyn M. Williams Scoulios | Nurse Practitioner | 7676 New Hampshire Ave, Suite 220 A, Takoma Park, MD 20912-7512 | 2009-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902405574 | Kylie White | Nurse Practitioner | 29595 Millstream Dr, Salisbury, MD 21804-2006 | 2020-10-23 |
| 1437764214 | Kelly Weaver | Nurse Practitioner | 11315 Pembroke Square, 110, Waldorf, MD 20603 | 2020-09-09 |
| 1003420282 | Mary Claire Perry | Nurse Practitioner | 737 W Lombard St Ste 314, Baltimore, MD 21201-1009 | 2020-09-03 |
| 1063022853 | Lauren Ranieri | Nurse Practitioner | 5301 Westbard Cir Ste 3, Bethesda, MD 20816-1463 | 2020-08-06 |
| 1841847209 | Brittany Nichole Frankel | Nurse Practitioner | 5870 Old Washington Rd, Sykesville, MD 21784-8622 | 2019-08-21 |
| 1912553595 | Kelsey Lynn Peifer | Nurse Practitioner | 6131 Baldridge Ter, Frederick, MD 21701-5858 | 2019-08-10 |
| 1841845351 | Advanced Practice Wellness, LLC | Nurse Practitioner | Washingtonian Blvd Ste 550, Gaithersburg, MD 20878 | 2019-08-02 |
| 1851946305 | Monica Patel | Nurse Practitioner | 3450 Old Washington Rd Ste 100, Waldorf, MD 20602-3249 | 2019-08-01 |
| 1922651082 | Deborah A Weber | Nurse Practitioner | 480 Lake Dr, Lusby, MD 20657-3260 | 2019-07-18 |
| 1700438140 | Emily Megan Burke | Nurse Practitioner | 200 Forbes St Annapolis, Md 21401, Suite 200, Annapolis, MD 21401 | 2019-07-16 |
| Find all providers with the same taxonomy | ||||
| City | TAKOMA PARK |
| Zip Code | 20912 |
Please comment or provide details below to improve the information on CONNI NEVILLS.
| 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.