JENNA MICHONG SONG (NPI# 1265735641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265735641 |
| Entity Type | Individual |
| Full Name | JENNA MICHONG SONG |
| Credential | RN |
| Practice Address |
7141 Security Blvd Baltimore MD 21244-1811 |
| Mailing Address |
8111 Brookwood Farm Rd Fulton MD 20759-9658 |
| Practice Telephone | 4436636223 |
| Practice Fax Number | 4436636131 |
| Mailing Telephone | 4436636223 |
| Mailing Fax Number | 4436636131 |
| Enumeration Date | 2010-12-07 |
| Last Update Date | 2010-12-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC0400X |
Registered Nurse Specialization: Case Management |
R100864 | MD | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972906295 | Jenna Song | Podiatrist | 2701 N Decatur Rd, Decatur, GA 30033-5918 | 2014-10-01 |
| Street Address |
7141 SECURITY BLVD |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21244-1811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659363885 | Fiona F Meller-azrieli | Internal Medicine | 7141 Security Blvd, Baltimore, MD 21244-1811 | 2005-08-15 |
| 1447898531 | Kaiser Foundation Health Plan of The Mid-atlantic States, Inc. | Clinic/Center | 7141 Security Blvd, Baltimore, MD 21244-1811 | 2019-12-19 |
| 1104385301 | Kisha Mary Selby | Registered Nurse | 7141 Security Blvd, Baltimore, MD 21244-1811 | 2019-03-18 |
| 1932631918 | Jennifer Taylor Ratta | Dietitian, Registered | 7141 Security Blvd, Baltimore, MD 21244-1811 | 2017-03-30 |
| 1033578364 | Kaiser Foundation Health Plan of The Mid Atlantic States, Inc | Clinic/Center | 7141 Security Blvd, Baltimore, MD 21244-1811 | 2016-02-15 |
| 1376908020 | Renee Farmer | Pharmacist | 7141 Security Blvd, Baltimore, MD 21244-1811 | 2015-12-23 |
| 1144656521 | Dennis Artiga De Leon | Physical Therapist | 7141 Security Blvd, Baltimore, MD 21244-1811 | 2013-09-18 |
| 1629413901 | Alexandra Macleod Grimes | Pharmacist | 7141 Security Blvd, Baltimore, MD 21244-1811 | 2013-05-01 |
| 1528309051 | Howard Seto Gwon | Pharmacist | 7141 Security Blvd, Pharmacy, Baltimore, MD 21244-1811 | 2013-03-07 |
| 1255672853 | Karina Elaine Holland | Pharmacist | 7141 Security Blvd, Baltimore, MD 21244-1811 | 2013-03-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235748468 | Sinnai Behavioral Health Services Inc | Psychiatric Residential Treatment Facility | 3610 Milford Road, Third Floor, Baltimore, MD 21244 | 2020-07-23 |
| 1023655370 | Flourish Healthcare Solutions, LLC | Home Health Aide | 3517 Langrehr Road, Suite 106a, Windsor Hill, MD 21244 | 2019-12-05 |
| 1265078471 | Chika Cares Pre-diabetes Workshop LLC | Public Health or Welfare | St Gabriel Church, 6950 Dogwood Rd, Windsor Mill, MD 21244 | 2019-11-22 |
| 1306318761 | Elana Rose Dorfman | Social Worker | 7205 Rutherford Road, Windsor Mill, MD 21244 | 2018-12-26 |
| 1235618406 | Stacy Solte Antonio | Physical Therapy Assistant | 7141 Security Blvd., Woodlawn, MD 21244 | 2018-08-08 |
| 1831675446 | Martha Marie Brown | Behavior Technician | 7901 Subet Rd, Windsor Mill, MD 21244 | 2018-07-17 |
| 1003306671 | Bk Faithful Enterprises Consulting, LLC | Dentist | 3120 Lord Baltimore Dr Ste 100, Baltimore, MD 21244 | 2018-05-18 |
| 1235640475 | Kingsley Awah | Home Health Aide | 7932 Dunhill Village Cir, Windsor Mill, Baltimore, MD 21244 | 2017-10-16 |
| 1316465917 | Elizabeth Duggan | Occupational Therapist | 7141 Security Blvd, Md 21244, Baltimore, MD 21244 | 2017-09-03 |
| 1326565052 | Latoya Womack | Registered Nurse | 7102 Burford Ct Apt 301, Windsor Mill, MD 21244 | 2017-08-24 |
| Find all providers in zip 21244 | ||||
| Taxonomy Code | 163WC0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194281451 | Rica Banfield | Registered Nurse | 2832 Huntingdon Ave, Baltimore, MD 21211-2921 | 2019-02-12 |
| 1043422041 | Susan Marie Rath | Registered Nurse | 300 Hammonds Ln, Baltimore, MD 21225-3653 | 2007-05-04 |
| 1609993500 | Sally Ann Vachon | Registered Nurse | 6401 York Rd Drumcastle, Third Floor, Baltimore, MD 21212 | 2007-03-23 |
| 1265056774 | Nicole Latasha Shell | Registered Nurse | 107 E 25th St, Baltimore, MD 21218-5213 | 2020-05-31 |
| 1992271241 | Nina Skinner | Registered Nurse | 1501 S Clinton St, Baltimore, MD 21224-5730 | 2018-10-15 |
| 1710426069 | Katherine Pretl | Registered Nurse | 1040 Park Ave Ste 200, Baltimore, MD 21201-5634 | 2017-02-20 |
| 1619415502 | Ella Histand | Registered Nurse | 1040 Park Ave Ste 200, Baltimore, MD 21201-5634 | 2017-02-10 |
| 1407247869 | Pamela Mcdonald-edwards | Registered Nurse | 6401 York Rd, 3rd Floor, Baltimore, MD 21212-2152 | 2015-02-06 |
| 1386998003 | Sheila Tires | Registered Nurse | 6401 York Rd, Baltimore, MD 21212-2152 | 2012-11-02 |
| 1124388970 | Cheryle Benita Ringo | Registered Nurse | 6604 English Oak Rd, Baltimore, MD 21234-6770 | 2012-05-25 |
| Find all providers in BALTIMORE | ||||
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| 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.