NURISHA SHAVON JACK (NPI# 1306338363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306338363 |
| Entity Type | Individual |
| Full Name | NURISHA SHAVON JACK |
| Practice Address |
9000 Franklin Square Dr Baltimore MD 21237-3901 |
| Mailing Address |
3903 Woodhaven Ln Bowie MD 20715-1276 |
| Practice Telephone | 4437778045 |
| Practice Fax Number | 4437772622 |
| Mailing Telephone | 2023806880 |
| Enumeration Date | 2018-06-05 |
| Last Update Date | 2018-06-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 176B00000X | Midwife | R191018 | MD | Other Service Providers |
| Street Address |
9000 FRANKLIN SQUARE DR |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21237-3901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407853070 | Mingxia Xi | Specialist | 9000 Franklin Square Dr, Baltimore, MD 21237-3901 | 2005-06-28 |
| 1750989125 | Lisa Distefano | Pharmacist | 9000 Franklin Square Dr, Baltimore, MD 21237-3901 | 2020-10-16 |
| 1720694490 | Medstar Medical Group II LLC | Health Educator | 9000 Franklin Square Dr, Baltimore, MD 21237-3901 | 2020-09-18 |
| 1205454535 | Taylor Leigh Hook | Physician Assistant | 9000 Franklin Square Dr, Baltimore, MD 21237-3901 | 2020-07-13 |
| 1326664954 | Rebecca Jo Hartnett | Counselor | 9000 Franklin Square Dr, Baltimore, MD 21237-3901 | 2020-06-19 |
| 1609491075 | Karen Polite-lamma | Registered Nurse | 9000 Franklin Square Dr, Baltimore, MD 21237-3901 | 2020-06-11 |
| 1386273076 | Seychelle Devries | Student in an Organized Health Care Education/Training Program | 9000 Franklin Square Dr, Baltimore, MD 21237-3901 | 2020-04-03 |
| 1346879459 | Zachary Everette Darby | Student in an Organized Health Care Education/Training Program | 9000 Franklin Square Dr, Baltimore, MD 21237-3901 | 2020-04-02 |
| 1609404474 | Kan Hong Zheng | Student in an Organized Health Care Education/Training Program | 9000 Franklin Square Dr, Baltimore, MD 21237-3901 | 2020-03-29 |
| 1457989261 | Chrystal Lynette Pristell | Student in an Organized Health Care Education/Training Program | 9000 Franklin Square Dr, Baltimore, MD 21237-3901 | 2020-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225666977 | Sheena Alisha Abraham | Nurse Anesthetist, Certified Registered | Medstar Franklin Square Medical Center, 9000 Franklin Square Drive, Baltimore, MD 21237 | 2020-03-30 |
| 1295221281 | Anyelin Almanzar | Student in an Organized Health Care Education/Training Program | 900 Franklin Square Dr, Dept. of General Surgery, Baltimore, MD 21237 | 2018-07-03 |
| 1952894818 | Peace Healthcare | Home Health | 8683 Old Philadelphia Road, Rosedale, MD 21237 | 2018-06-14 |
| 1134621816 | Maryland Sportscare & Rehab LLC | Physical Therapist | 8665 Pulaski Hwy Ste 115, Rosedale, MD 21237 | 2018-03-08 |
| 1619480308 | Valorie Elaine Colby | Registered Nurse | Eastern Family Resource Center, 9150 Franklin Square Drive, Rosedale, MD 21237 | 2017-11-16 |
| 1891205910 | Gidez Nursing Services LLC | Registered Nurse | 8902 Lennings Lane, Baltimore, MD 21237 | 2017-10-03 |
| 1801258736 | Riverside Treatment Services LLC | Clinic/Center | 8359 Pulaski Highway, Rosedale, MD 21237 | 2016-03-21 |
| 1457734691 | Ati Holdings, LLC | Occupational Therapist | 8652 Pulasky Hwy Ste C-1, Rosedale, MD 21237 | 2015-07-07 |
| 1063802940 | Melissa Pollard | Pharmacy Technician | 1521 Seling Ave, Baltimore, MD 21237 | 2015-01-29 |
| 1053733378 | Thrive Behavioral Health, LLC | Community/Behavioral Health | 9627 Philadelphia Rd Ste 160, Rosedale, MD 21237 | 2014-01-07 |
| Find all providers in zip 21237 | ||||
| Taxonomy Code | 176B00000X |
| Grouping | Other Service Providers |
| Classification | Midwife |
| A Midwife is a trained professional with special expertise in supporting women to maintain a healthy pregnancy birth, offering expert individualized care, education, counseling, and support to a woman and her newborn throughout the childbearing cycle. A Midwife is a skilled and independent practitioner who has undergone formalized training. Midwives are not required to be nurses and may be trained via multiple routes of education (apprenticeship, workshop, formal classes, or programs, etc., usually a combination). The educational background requirements and licensing requirements vary by state. The Midwife may or may not be certified by a state or national organization. |
| Notes: Source: The National Uniform Claim Committee [7/1/2007: title changed, definition changed, source changed] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891009916 | Alexa Rose Richardson | Midwife | 2614 N Calvert St, Baltimore, MD 21218-4616 | 2010-07-30 |
| 1003035676 | Asma S Hanif | Midwife | 5115 Liberty Heights Ave, Baltimore, MD 21207-7056 | 2007-04-24 |
| 1639219819 | Karen Carr | Midwife | 2222 Kentucky Ave, Baltimore, MD 21213-1012 | 2007-02-07 |
| 1932727872 | Brooke Edwards | Midwife | 1800 Orleans St, Baltimore, MD 21287-0010 | 2020-07-07 |
| 1730721291 | Stefanie Beate Schwarz | Midwife | 1800 Orleans St, Baltimore, MD 21287-0010 | 2019-10-16 |
| 1033760814 | Monique Morales | Midwife | 3700 Fleet St Ste 200, Baltimore, MD 21224-4243 | 2019-09-24 |
| 1437612751 | Kara Lynn Dobsa | Midwife | 3501 Sinclair Ln, Baltimore, MD 21213-2029 | 2019-04-12 |
| 1174021927 | Crystal Marie Hicks | Midwife | 9000 Franklin Square Dr, Baltimore, MD 21237-3901 | 2018-01-26 |
| 1588115257 | Birthwise Midwifery | Midwife | 6500 Falls Rd, Baltimore, MD 21209-2036 | 2016-10-18 |
| 1134449077 | Colleen Kennedy | Midwife | 2700 Remington Ave Ste 2000, Baltimore, MD 21211 | 2010-06-02 |
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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.