LOVE KIDS LLC (NPI# 1285094094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285094094 |
| Entity Type | Organization |
| Organization Name | LOVE KIDS LLC |
| Practice Address |
14300 Gallant Fox Ln 203 Bowie MD 20715-4003 |
| Practice Telephone | 3012624784 |
| Practice Fax Number | 3012622767 |
| Mailing Telephone | 3012624784 |
| Mailing Fax Number | 3012622767 |
| Enumeration Date | 2016-03-07 |
| Last Update Date | 2016-03-07 |
| Authorized Official Name | YVONNE JACKSON (CEO) |
| Authorized Official Telephone | 3012624784 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | D0050706 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 1580001P0000 | 05 |
| Street Address |
14300 GALLANT FOX LN 203 |
| City | BOWIE |
| State | MD |
| Zip Code | 20715-4003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154322659 | Theodore W Taber | Chiropractor | 14300 Gallant Fox Ln, Suite 201, Bowie, MD 20715-4003 | 2005-08-09 |
| 1598318545 | Bonita Mannings | Counselor | 14300 Gallant Fox Ln, Bowie, MD 20715-4003 | 2019-07-18 |
| 1740796945 | Tierra Shanel Thomas | Nurse Practitioner | 14300 Gallant Fox Ln, Bowie, MD 20715-4003 | 2017-12-26 |
| 1821532813 | Neuroscience Associates of Bowie | Clinical Neuropsychologist | 14300 Gallant Fox Ln, 107, Bowie, MD 20715-4003 | 2016-12-09 |
| 1285082644 | Trinity Dental Care, LLC | Dentist | 14300 Gallant Fox Ln, Suite 111, Bowie, MD 20715-4003 | 2016-05-26 |
| 1417322926 | Shannon Nicole Martin | Nurse Practitioner | 14300 Gallant Fox Ln, Suite 216, Bowie, MD 20715-4003 | 2015-12-09 |
| 1134598394 | Phs Multispecialty Services | Surgery | 14300 Gallant Fox Ln, Suite 224, Bowie, MD 20715-4003 | 2015-09-17 |
| 1780078436 | Utopia Health Services Group Inc. | Counselor | 14300 Gallant Fox Ln, Suite 213, Bowie, MD 20715-4003 | 2015-03-19 |
| 1083018832 | Marsha Ross | Social Worker | 14300 Gallant Fox Ln, Suite 216, Bowie, MD 20715-4003 | 2014-10-22 |
| 1215366752 | Healing Children and Families, Inc. | Social Worker | 14300 Gallant Fox Ln, Suite 216, Bowie, MD 20715-4003 | 2013-11-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104304757 | Aynia V Dorsey | Occupational Therapist | 6915 Laurel Bowie Rd Ste 205b, Bowie, MD 20715 | 2018-08-04 |
| 1558852988 | Dmv Foot and Ankle Center | Podiatrist | 15480 Annapolis Rd Ste 202-437, Bowie, MD 20715 | 2018-05-22 |
| 1861918435 | Ryan Leigh Brown | Psychologist | 3231 Superior Lane, Suite, A6, Bowie, MD 20715 | 2017-08-16 |
| 1073060430 | Chinwendu Ezeoru | Nurse Practitioner | 13004 Viewpoint Ln, Bowie, MD 20715 | 2016-09-02 |
| 1386094977 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 15501 Annapolis Rd, Suite 400, Bowie, MD 20715 | 2016-06-15 |
| 1083003164 | Megan Elizabeth Cooper | Social Worker | 2812 Bosworth Ln, Bowie, MD 20715 | 2015-01-13 |
| 1467856740 | Nathan-todd Consulting | Community/Behavioral Health | 3231 Superior Court Lane,# A5, Bowie, MD 20715 | 2014-10-15 |
| 1841534468 | Varsity Professional Rehabilitation and Staffing, LLC | Physical Therapist | 14000 Jericho Park Road, Bowie, MD 20715 | 2012-11-20 |
| 1013269893 | Felix Chukwudi Ohams | Registered Nurse | 7613 Old Chapel Dr, Bowie, MD 20715 | 2012-10-04 |
| 1720336464 | Tara Marie Hatfield | Physical Therapist | 100 Whitemarsh Park Drive, Bowie, MD 20715 | 2012-08-28 |
| Find all providers in zip 20715 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457389892 | Jeannine Avis Clark | Pediatrics | 6915 Laurel Bowie Road, Suite 301, Bowie, MD 20715 | 2006-06-28 |
| 1275513053 | Valorie Anlage | Pediatrics | 17001 Science Drive, Suite 116, Bowie, MD 20715 | 2006-01-18 |
| 1144229667 | Toni Lynn Thompson-chittams | Pediatrics | 4357 Northview Dr, Bowie, MD 20716-2603 | 2005-07-18 |
| 1083610760 | Amina T Watson | Pediatrics | 1700 Science Drive, Suite 102, Bowie, MD 20715 | 2005-06-27 |
| 1700266962 | Tlc Pediatrics | Pediatrics | 4357 Northview Dr, Bowie, MD 20716-2603 | 2015-06-03 |
| 1841408697 | Ettienne's Premier Pediatric Care LLC | Pediatrics | 2905 Mitchellville Rd, Ste 115, Bowie, MD 20716-1385 | 2007-05-17 |
| 1730252594 | Suzette Scipio - Ettienne | Pediatrics | 2905 Mitchellville Rd, Ste 115, Bowie, MD 20716-1385 | 2006-11-17 |
| 1770689416 | Azar Dashti | Pediatrics | 4379 Northview Dr, Bowie, MD 20716-2603 | 2006-09-16 |
| 1285648667 | Brenda Karen Pettus-bellamy | Pediatrics | 6915 Laurel Bowie Rd, Suite 301, Bowie, MD 20715 | 2006-07-28 |
| 1790786101 | Yvonne Marie Jackson | Pediatrics | 14300 Gallant Fox Ln, Suite 203, Bowie, MD 20715-4003 | 2005-08-09 |
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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.