MS. BETH ANN WADDELL-VANDEGEIJN (NPI# 1275535452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275535452 |
| Entity Type | Individual |
| Full Name | MS. BETH ANN WADDELL-VANDEGEIJN |
| Credential | CRNP |
| Practice Address |
2112 Dundalk Ave Baltimore MD 21222-3714 |
| Mailing Address |
3100 Wyman Park Dr Baltimore MD 21211-2803 |
| Practice Telephone | 4102884800 |
| Practice Fax Number | 4102881424 |
| Mailing Telephone | 4103383500 |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2011-11-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
R112485 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2112 DUNDALK AVE |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21222-3714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053954750 | Regine Beliard Veillard | Pharmacist | 2112 Dundalk Ave, Baltimore, MD 21222-3714 | 2019-10-25 |
| 1760036834 | Meghan Estock Roman | Registered Nurse | 2112 Dundalk Ave, Baltimore, MD 21222-3714 | 2019-07-27 |
| 1780069658 | Nicole Maffia | Nurse Practitioner | 2112 Dundalk Ave, Baltimore, MD 21222-3714 | 2015-07-21 |
| 1740664341 | Kathleen Bocskor | Registered Nurse | 2112 Dundalk Ave, Baltimore, MD 21222-3714 | 2015-07-13 |
| 1184915498 | Brendan Day | Internal Medicine | 2112 Dundalk Ave, Baltimore, MD 21222-3714 | 2011-04-21 |
| 1770882631 | Ayesha Anwar Butt | Internal Medicine | 2112 Dundalk Ave, Baltimore, MD 21222 | 2011-03-17 |
| 1255415873 | Swati D Phatak | Internal Medicine | 2112 Dundalk Ave, Baltimore, MD 21222 | 2006-10-24 |
| 1033213301 | Susan T Shultz | Nurse Practitioner | 2112 Dundalk Ave, Baltimore, MD 21222 | 2006-09-08 |
| 1497859763 | Anthony J Harrell | Internal Medicine | 2112 Dundalk Ave, Baltimore, MD 21222 | 2006-09-08 |
| 1710914296 | Marcia F. Schwartz | Pediatrics | 2112 Dundalk Ave, Baltimore, MD 21222-3714 | 2006-06-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922634534 | Progressive Multi Medical Services Inc | Nurse Practitioner | 7704 Trappe Road, Dundalk, MD 21222 | 2020-03-14 |
| 1881240802 | Waleed Mazhar Khan | Pharmacist | 29-31 Sipping Pl, Baltimore, MD 21222 | 2019-08-15 |
| 1043773724 | Agnes Kavari | Occupational Therapy Assistant | 7232 German Hill Road, Heritage Center, Baltimore, MD 21222 | 2019-04-10 |
| 1609335702 | Addiction Treatment of Maryland | Substance Abuse Rehabilitation Facility | 19 Center Place, 1st Floor, Baltimore, MD 21222 | 2019-03-18 |
| 1558833368 | Millennium Residential Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1709 Holaview Road, Dundalk, MD 21222 | 2018-12-19 |
| 1639691447 | Tenicia S Washington | Nurse Practitioner | 1709 Holaview Rd, Dundalk, MD 21222 | 2017-07-13 |
| 1548708126 | Kevin Anthony Mason | Counselor | 7827 Wise Avenue, Dundalk Counseling Center, Baltimore, MD 21222 | 2017-02-03 |
| 1023569266 | Rachel Renee Barbarino | Physician Assistant | 1934 Ewald Ave, Baltimore, MD 21222 | 2016-10-24 |
| 1023562576 | Bd Health Services, Inc | Counselor | 3955 North Point Rd., Dundalk, MD 21222 | 2016-08-12 |
| 1205287596 | Dundalk Health Services, Inc. | Counselor | 6706 Holabird Ave, Baltimore, MD 21222 | 2016-06-28 |
| Find all providers in zip 21222 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659981728 | Jamie Briddell | Nurse Practitioner | 250 N Calvert St, Baltimore, MD 21202-3505 | 2020-08-04 |
| 1790300903 | Hall Diabetes Management and Resource Center PC | Nurse Practitioner | 1900 E Northern Pkwy Ste T1, Baltimore, MD 21239-2120 | 2020-06-12 |
| 1356978530 | Melissa Irvin Sahm | Nurse Practitioner | 2634 Guilford Ave, Baltimore, MD 21218-4611 | 2020-03-26 |
| 1821646092 | Aaron Murfin | Nurse Practitioner | 1055 W Market St Ste H, Baltimore, OH 43105-1284 | 2019-08-29 |
| 1669024543 | Alpa Uchil | Nurse Practitioner | 601 N Caroline St Ste 5061, Baltimore, MD 21287-0006 | 2019-07-11 |
| 1982169918 | Stephanie Ann Wagner | Nurse Practitioner | 5601 Loch Raven Blvd Bldg Suite502, Baltimore, MD 21239-2945 | 2019-02-04 |
| 1386118289 | Dia Lynae Johnson | Nurse Practitioner | 4101 Glenhunt Rd, Baltimore, MD 21229-1705 | 2019-01-14 |
| 1083181077 | Gilah Speedone | Nurse Practitioner | 5915 Western Park Dr, Baltimore, MD 21209-3416 | 2018-10-27 |
| 1144719634 | Kathryn Ellen Menzel | Nurse Practitioner | 601 N Caroline St Fl 7, Baltimore, MD 21287-0006 | 2018-05-09 |
| 1659815520 | Leonard Mugo | Nurse Practitioner | 4611 Southwood Ave, Baltimore, MD 21206-2245 | 2016-12-13 |
| 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.