JACQUELINE A BROWN (NPI# 1326143611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1326143611 |
Entity Type | Individual |
Full Name | JACQUELINE A BROWN |
Other Name | JACQUELINE A NUNALLY |
Credential | M.D. |
Practice Address |
8821 Columbia 100 Pkwy Columbia MD 21045-2168 |
Practice Telephone | 4109971700 |
Practice Fax Number | 4107408315 |
Mailing Telephone | 4109971700 |
Mailing Fax Number | 4107408315 |
Enumeration Date | 2006-09-13 |
Last Update Date | 2016-09-02 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
D0041853 | MD | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MD | 788921600 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710599006 | Jacqueline Wickline Brown | Technician | 519 Fort Spring Pike, Ronceverte, WV 24970-8093 | 2020-08-19 |
1972130078 | Jacqueline Leigh Brown | Nurse Practitioner | 904 Holiday Dr Ste 402, Forrest City, AR 72335-9157 | 2020-03-26 |
1396389763 | Jacqueline Marie Brown | Speech-Language Pathologist | 1207 N 152nd St Ste A, Shoreline, WA 98133-6247 | 2019-10-29 |
1801398573 | Jacqueline Brown | Registered Nurse | 3580 Sowles Rd Apt 318, Hamburg, NY 14075-2612 | 2018-03-08 |
1871017814 | Jacqueline Diana Brown | Counselor | 7405 Metropolitan Ave Apt 2f, Middle Village, NY 11379-2636 | 2017-08-01 |
1760905772 | Jacqueline Brown | Technician | 5212 C St Se, Washington, DC 20019-6311 | 2017-07-21 |
1326592767 | Jacqueline Lee Brown | Speech-Language Pathologist | 30 N 1st E, Driggs, ID 83422-5219 | 2016-08-14 |
1902201585 | Jacqueline Brown | Registered Nurse | 1203 Jackson St, Marinette, WI 54143-2014 | 2014-10-25 |
1093125825 | Jacqueline Florence Brown | Licensed Practical Nurse | 56 S 11th Ave, Mount Vernon, NY 10550-2909 | 2014-05-01 |
1922425362 | Jacqueline Brown | Nurse Practitioner | 529 Penn Ave, Drexel Hill, PA 19026-1414 | 2014-03-24 |
Street Address |
8821 COLUMBIA 100 PKWY |
City | COLUMBIA |
State | MD |
Zip Code | 21045-2168 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902865553 | Lindsay V. Fitch-alexander | Pediatrics | 8821 Columbia 100 Pkwy, Suite 3a, Columbia, MD 21045-2274 | 2006-03-22 |
1154861896 | Acuworks | Acupuncturist | 8821 Columbia 100 Pkwy, Suite 5, Columbia, MD 21045-2274 | 2017-02-28 |
1790233666 | Kenneth M. Klebanow, M.d. & Associates, P.a. | Psychologist | 8821 Columbia 100 Pkwy, Columbia, MD 21045 | 2016-09-20 |
1972957512 | Theresa Elaine Bourne | Pediatrics | 8821 Columbia 100 Pkwy, Columbia, MD 21045-2274 | 2016-04-20 |
1356658413 | Jessica Kristen Winkles | Psychologist | 8821 Columbia 100 Pkwy, Columbia, MD 21045-2274 | 2010-09-09 |
1083748917 | Lynn Schwartz | Acupuncturist | 8821 Columbia 100 Pkwy, Suite 5, Columbia, MD 21045-2168 | 2007-03-15 |
1619989407 | Kenneth Michael Klebanow | Pediatrics | 8821 Columbia 100 Pkwy, Columbia, MD 21045-2168 | 2006-08-12 |
1285646992 | James D Anthony | Pediatrics | 8821 Columbia 100 Pkwy, Columbia, MD 21045-2168 | 2006-08-12 |
1629080353 | Chandana Chatterjee | Pediatrics | 8821 Columbia 100 Pkwy, Columbia, MD 21045-2168 | 2006-08-12 |
1457363129 | Melissa Amy Beyer-thistle | Nurse Practitioner | 8821 Columbia 100 Pkwy, Columbia, MD 21045-2168 | 2006-08-12 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497374136 | Keenan Eldridge | Behavior Technician | 8950 Md-108, Suite 100, Columbia, MD 21045 | 2020-04-13 |
1730724220 | Luci Lee Redman Cassella | Family Medicine | 8900 Columbia 100 Parway Suite G, Columbia, MD 21045 | 2019-11-08 |
1417519414 | Howard County Health Department | Clinic/Center | Cradlerock Elementary School-based Wellness Center, 6700 Cradlerock Way, Columbia, MD 21045 | 2019-07-01 |
1649754490 | Dana Pirzchalski | Behavioral Analyst | 8815 Columbia Parkwary, 4, Columbia, MD 21045 | 2018-09-18 |
1871089177 | Melissa Jo Kennedy | Behavior Technician | 8815 Columbia Parkway, 4, Columbia, MD 21045 | 2018-07-10 |
1497246193 | Kjd | Physical Therapist | 8900 Columbia 100 Pkwy Ste C, Columbia, MD 21045 | 2018-05-29 |
1174010276 | Roger Lee | Audiologist | 8600 Snowden River Pkwy #309, Columbia, MD 21045 | 2018-04-16 |
1811497910 | Dominique Nichole Hale | Behavior Technician | 8115 Columbia 100 Parkway, Suite 4, Columbia, MD 21045 | 2018-02-15 |
1982116802 | Bradley D. Stiles | Acupuncturist | 6257 Deep River Cyn, Columbia, MD 21045 | 2017-11-01 |
1194234849 | University of Maryland Eye Associates, P.a. | Eyewear Supplier (Equipment, not the service) | 5900 Waterloo Road, Suite 230, Columbia, MD 21045 | 2017-09-26 |
Find all providers in zip 21045 |
Taxonomy Code | 2080A0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Adolescent Medicine |
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
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/certification - 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 |
---|---|---|---|---|
1346401189 | Rose - Marie St Jean Sylla | Pediatrics | 5209 Eliots Oak Rd, Columbia, MD 21044-1826 | 2008-06-24 |
1174695670 | Kenneth M. Klebanow, M.d. & Associates, P.a. | Pediatrics | 8821 C0lumbia 100 Pkwy, Columbia, MD 21045 | 2006-11-14 |
1063528305 | Aruna V Khurana | Pediatrics | 10804 Hickory Ridge Rd, Columbia, MD 21044-3622 | 2006-08-21 |
1164487955 | Mojibola Olayinka Solaja | Pediatrics | 120 Wildewood Park Dr, Suite B, Columbia, SC 29223-4300 | 2006-04-18 |
1184016941 | South Carolina Pediatrics Alliance, LLC | Pediatrics | 601 Clemson Rd, Columbia, SC 29229-4341 | 2015-03-03 |
1396991741 | John Khoury | Pediatrics | 2113 Adams Grv, Suite 110, Columbia, SC 29203-6951 | 2008-08-15 |
1033322318 | Lisa D. Monsees | Pediatrics | 401 N Keene St, Columbia, MO 65201-6625 | 2007-05-07 |
1376683391 | Medogun Pa | Pediatrics | 120 Wildewood Park Dr, Suite B, Columbia, SC 29223-4300 | 2007-02-07 |
1609940790 | Aneesh Kumar Tosh | Pediatrics | 404 N Keene St Ste 101, Columbia, MO 65201-6626 | 2006-11-20 |
1619989407 | Kenneth Michael Klebanow | Pediatrics | 8821 Columbia 100 Pkwy, Columbia, MD 21045-2168 | 2006-08-12 |
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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.