MRS. KATHERINE BONELLI SIRIANNI (NPI# 1316254428) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316254428 |
| Entity Type | Individual |
| Full Name | MRS. KATHERINE BONELLI SIRIANNI |
| Other Name | MS. KATHERINE REBECCA BONELLI |
| Credential | PA-C |
| Practice Address |
12210 Plum Orchard Dr Suite 212 Silver Spring MD 20904 |
| Mailing Address |
12210 Plum Orchard Dr Suite 212 Silver Spring MD 20904-7800 |
| Practice Telephone | 3016226020 |
| Practice Fax Number | 3016809335 |
| Mailing Telephone | 3016226020 |
| Mailing Fax Number | 3016809335 |
| Enumeration Date | 2010-09-10 |
| Last Update Date | 2018-06-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | C0004319 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | MEDICAL LICENSE NUMBER | C0004319 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528257193 | Katherine Sirianni | Counselor | 1465 Payne Ave, North Tonawanda, NY 14120-2511 | 2007-10-19 |
| Street Address |
12210 PLUM ORCHARD DR SUITE 212 |
| City | SILVER SPRING |
| State | MD |
| Zip Code | 20904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235139387 | Adolph William Johnson Jr. | Family Medicine | 12210 Plum Orchard Dr, Suite 212, Silver Spring, MD 20904-7800 | 2005-07-29 |
| 1336693431 | Maryland Oncology Hematology P.a. | Non-Pharmacy Dispensing Site | 12210 Plum Orchard Dr, Suite 211, Silver Spring, MD 20904-7911 | 2016-08-08 |
| 1821384199 | Oluremi Akinlade | Family Medicine | 12210 Plum Orchard Dr, Suite 212, Silver Spring, MD 20904-7911 | 2011-06-24 |
| 1518286970 | Justin Thomas Brown | Family Medicine | 12210 Plum Orchard Dr, Suite 212, Silver Spring, MD 20904-7800 | 2010-05-25 |
| 1376736603 | Associates In Family Practice Pa | Family Medicine | 12210 Plum Orchard Dr, Suite 212, Silver Spring, MD 20904-7800 | 2007-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487292678 | Vas Adult Day Care Center | Clinic/Center | 12621 Old Columbia Pike, Silver Spring, MD 20904 | 2019-12-18 |
| 1619512837 | David Newsome | General Practice | 12305 Sandalwood Lane, Silver Spring, MD 20904 | 2019-11-12 |
| 1215595996 | Educational Speech Services Prattle On | Speech-Language Pathologist | 2804 Mozart Drive, Silver Spring, MD 20904 | 2019-05-29 |
| 1184288201 | Danielle Fitzpatrick Tarbrake | Speech-Language Pathologist | Cannon Road Elementary School, 901 Cannon Road, Silver Spring, MD 20904 | 2019-04-24 |
| 1912483181 | Florence M Edorh-damlin | Home Health Aide | 14119 Castle Blvd Apt 102, Silver Spring, MD 20904 | 2018-07-11 |
| 1922594357 | Melanie Bennett | Occupational Therapist | 3500 Sheffield Manor Terrace, Silver Spring, MD 20904 | 2018-07-09 |
| 1578056602 | Chioma Theresa Nwaneri | Home Health Aide | 1516 November Cir Apt 201, Silver Spring, MD 20904 | 2018-06-13 |
| 1598287989 | Wandji Ngatchou | Home Health Aide | 13908 Castle Blvd Apt 303, Silver Spring, MD 20904 | 2017-07-07 |
| 1871025239 | Rose Abanda | Home Health Aide | 11700 Old Columbia Pike Apt 703, Silver Spring, MD 20904 | 2017-04-03 |
| 1962955930 | Bentilda Healthcare Services | Nursing Care | 13526 Collingwood Ter, Silver Spring, MD 20904 | 2016-07-26 |
| Find all providers in zip 20904 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497377949 | Tesfay Mezgebe Hailu | Physician Assistant | 2700 Shanandale Dr, Silver Spring, MD 20904-1632 | 2020-05-07 |
| 1780229328 | Angela Anna Difonzo | Physician Assistant | 15900 Mount Everest Ln, Silver Spring, MD 20906-1014 | 2019-11-07 |
| 1821564972 | Abdulsemed Beshir | Physician Assistant | 8560 2nd Ave Apt 1413, Silver Spring, MD 20910-6314 | 2018-10-16 |
| 1699259549 | Edom B Zelelew | Physician Assistant | 10812 Tenbrook Dr, Silver Spring, MD 20901-1034 | 2018-09-17 |
| 1366936247 | Serena Lynne Kalish | Physician Assistant | 1121 University Blvd W Apt 503, Silver Spring, MD 20902-3318 | 2018-06-14 |
| 1437552973 | Marie Bernadette Mvogo Messobo | Physician Assistant | 11412 Grandview Ave, Silver Spring, MD 20902-2742 | 2014-09-29 |
| 1073939658 | Chinyere I Ifechukwu | Physician Assistant | 13840 Castle Blvd, Apt. 203, Silver Spring, MD 20904-7384 | 2014-03-06 |
| 1750714036 | Hailemichael Aschenaki Azerefegn | Physician Assistant | 3650 Bel Pre Rd, 24, Silver Spring, MD 20906-2670 | 2013-08-09 |
| 1114152790 | Jessicah Julinda Ray | Physician Assistant | 20 University Blvd E, Silver Spring, MD 20901-2436 | 2009-05-26 |
| 1922267947 | Sandy Han Evanson | Physician Assistant | 2415 Musgrove Rd Ste 105, Silver Spring, MD 20904-5224 | 2008-06-05 |
| Find all providers in SILVER SPRING | ||||
| City | SILVER SPRING |
| Zip Code | 20904 |
Please comment or provide details below to improve the information on MRS. KATHERINE BONELLI SIRIANNI.
| 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.