VICTORIA KENNEDY TYSON (NPI# 1285941641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285941641 |
| Entity Type | Individual |
| Full Name | VICTORIA KENNEDY TYSON |
| Credential | CRNP-PMH |
| Practice Address |
175 Admiral Cochrane Dr Ste 110 Annapolis MD 21401 |
| Mailing Address |
211 Providence Rd Annapolis MD 21409-6309 |
| Practice Telephone | 4105710888 |
| Practice Fax Number | 4105710889 |
| Mailing Telephone | 2409976124 |
| Mailing Fax Number | 4107573343 |
| Enumeration Date | 2010-09-08 |
| Last Update Date | 2018-06-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
R097928 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
175 ADMIRAL COCHRANE DR STE 110 |
| City | ANNAPOLIS |
| State | MD |
| Zip Code | 21401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659688141 | Robert Allen-emerson | Nurse Practitioner | 175 Admiral Cochrane Dr Ste 110, Annapolis, MD 21401-8445 | 2010-09-07 |
| 1194335513 | Amanda Marcus | Social Worker | 175 Admiral Cochrane Dr Ste 110, Annapolis, MD 21401-8445 | 2020-08-01 |
| 1891329165 | Melanie Elaine Carson | Social Worker | 175 Admiral Cochrane Dr Ste 110, Annapolis, MD 21401-8445 | 2020-02-26 |
| 1689229486 | Marianne Hatle | Psychiatry & Neurology | 175 Admiral Cochrane Dr Ste 110, Annapolis, MD 21401-8445 | 2019-08-08 |
| 1790276988 | James Perritt | Nurse Practitioner | 175 Admiral Cochrane Dr Ste 110, Annapolis, MD 21401 | 2018-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497377154 | Michael Khorsandi | Student in an Organized Health Care Education/Training Program | 2001 Medical Parkway, Clatanoff Pavillon, Gmw Office, Annapolis, MD 21401 | 2020-05-15 |
| 1275172033 | Katrice N Nelson | Massage Therapist | Wellsview Cottage Center, 613 Ridgely Avenue, Annapolis, MD 21401 | 2019-12-27 |
| 1548803521 | Victoria Reimnitz | Behavioral Analyst | 2028 Indusrtrial Dr, Ste B&c, Annapolis, MD 21401 | 2019-10-23 |
| 1700438140 | Emily Megan Burke | Nurse Practitioner | 200 Forbes St Annapolis, Md 21401, Suite 200, Annapolis, MD 21401 | 2019-07-16 |
| 1316504848 | Sherina Maryam Shamsa | Counselor | 1830 Forest Drive, Suite H-2, Annapolis, MD 21401 | 2019-05-21 |
| 1497225288 | Jerilyn Deitch | Speech-Language Pathologist | Anne Arundel County Public Schools, 2644 Riva Rd, Annapolis, MD 21401 | 2018-12-05 |
| 1487124038 | Lucinda W Mimms | Speech-Language Pathologist | 2644 Riva Rd., Annapolis, MD 21401 | 2018-11-27 |
| 1487145496 | Michelle Baudean | Behavior Technician | 1919 West St Ste 201, Annapolis, MD 21401 | 2018-05-24 |
| 1730678954 | Stephanie Ruth Streb | Registered Nurse | 130 Admiral Cochrane Dr Ste 103, Annapolis, MD 21401 | 2018-05-02 |
| 1780183947 | Annapolis Sleep Center LLC | Clinic/Center | 2451 Riva Rd, Annapolis, MD 21401 | 2018-02-02 |
| Find all providers in zip 21401 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255994802 | Grace Doh | Nurse Practitioner | 1831 Forest Dr Ste A, Annapolis, MD 21401-4430 | 2019-04-18 |
| 1659688141 | Robert Allen-emerson | Nurse Practitioner | 175 Admiral Cochrane Dr Ste 110, Annapolis, MD 21401-8445 | 2010-09-07 |
| 1790276988 | James Perritt | Nurse Practitioner | 175 Admiral Cochrane Dr Ste 110, Annapolis, MD 21401 | 2018-05-23 |
| 1427320100 | Jennifer L Wilhelm | Nurse Practitioner | 2635 Riva Rd, Annapolis, MD 21401-7430 | 2012-01-27 |
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| 1639776446 | Serenity Heart Healthcare, LLC | Nurse Practitioner | 6755 Business Pkwy Ste 304, Elkridge, MD 21075-6740 | 2020-10-05 |
| 1689281529 | Premier Psychiatry, LLC | Nurse Practitioner | 10601 Virginia Ave, Cockeysville, MD 21030-2315 | 2020-09-24 |
| 1407462559 | Mem Scepter Home & Behavioral | Nurse Practitioner | 14104 Dawn Whistle Way, Bowie, MD 20721-1304 | 2020-09-23 |
| Find all providers with the same taxonomy | ||||
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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.