MRS. STEPHANIE KATHERINE DADDS


Address: 2002 Medical Pkwy Ste 460, Annapolis, MD 21401-3263
Phone: 4434814080

MRS. STEPHANIE KATHERINE DADDS (NPI# 1306329636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306329636
Entity Type Individual
Full Name MRS. STEPHANIE KATHERINE DADDS
Credential FNP-BC
Practice Address 2002 Medical Pkwy Ste 460
Annapolis
MD 21401-3263
Mailing Address 122 Merrimack Way
Arnold
MD 21012-2579
Practice Telephone 4434814080
Mailing Telephone 4109036126
Enumeration Date 2018-09-12
Last Update Date 2019-01-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse R234084 MD Nursing Service Providers
Y 363LF0000X Nurse Practitioner
Specialization: Family
R234084 MD Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MD MEDICARE 752086 01
MD 777729900 05

Office Location

Street Address 2002 MEDICAL PKWY STE 460
City ANNAPOLIS
State MD
Zip Code 21401-3263

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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
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740807841 Lauren Audrey Skinner Nurse Practitioner 616 Admiral Dr Apt 377, Annapolis, MD 21401-7526 2020-07-06
1174186589 Danielle Bagdon Nurse Practitioner 726 Darlow Dr, Annapolis, MD 21409-7501 2019-04-22
1689163412 Crystal Moss Patterson Nurse Practitioner 1910 Towne Centre Blvd Ste 210, Annapolis, MD 21401-3675 2018-05-07
1881193829 Lauren Usilton Nurse Practitioner 2000 Medical Pkwy Ste 607, Annapolis, MD 21401-3748 2018-02-05
1467968503 Brooke Anne Calhoun Nurse Practitioner 2000 Medical Pkwy Ste 310, Annapolis, MD 21401-3754 2017-12-27
1790206266 Krista Jean Roberts Nurse Practitioner 1616 Forest Dr Ste 1, Annapolis, MD 21403-1019 2017-07-05
1588113435 Ashley Arleen Starnes Nurse Practitioner 202 N Allen St, Annapolis, MO 63620-8778 2016-10-03
1689856353 Lorri Tereese King Nurse Practitioner 1911 Towne Centre Blvd, Annapolis, MD 21401-3020 2007-12-04
1093901274 Deborah M. Reid Nurse Practitioner 105 Annapolis St Ste B, Annapolis, MD 21401-1360 2007-09-20
1518925023 Anne P Stelmash Nurse Practitioner 2000 Medical Pkwy Ste 510, Annapolis, MD 21401-3747 2006-05-03
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Competitor

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City ANNAPOLIS
Zip Code 21401

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Dataset Information

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.

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