MRS. LEE SHIN NICHOLSON (NPI# 1336364843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336364843 |
Entity Type | Individual |
Full Name | MRS. LEE SHIN NICHOLSON |
Credential | FNP-BC |
Practice Address |
10810 Connecticut Ave Kaiser Permanente Kensington Medical Center Kensington MD 20895-2138 |
Mailing Address |
2101 E Jefferson St Kaiser Permanente Medicare Enrollment Rockville MD 20852-4908 |
Practice Telephone | 3019297100 |
Mailing Telephone | 3018162424 |
Enumeration Date | 2007-04-17 |
Last Update Date | 2012-12-06 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R136233 | MD | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
10810 CONNECTICUT AVE KAISER PERMANENTE KENSINGTON MEDICAL CENTER |
City | KENSINGTON |
State | MD |
Zip Code | 20895-2138 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194725325 | Elizabeth Anne Valois | Pediatrics | 10810 Connecticut Ave, Kaiser Permanente Kensington Medical Center, Kensington, MD 20895-2138 | 2005-07-29 |
1639726029 | Dony Ariel Maiguel | Physical Therapist | 10810 Connecticut Ave, Kensington, MD 20895-2138 | 2019-08-21 |
1124507132 | Jasmine Jiao | Physical Therapist | 10810 Connecticut Ave, Kensington, MD 20895-2138 | 2018-08-09 |
1083137277 | Wambui Gacangi Kiruthi | Pharmacist | 10810 Connecticut Ave, Kensington, MD 20895 | 2017-07-20 |
1831637859 | Lauren Dellapenna | Physical Therapy Assistant | 10810 Connecticut Ave, Kensington, MD 20895-2138 | 2017-02-09 |
1114385671 | Kelly Burgdorf | Audiologist | 10810 Connecticut Ave, Building 2, Kensington, MD 20895-2138 | 2016-01-29 |
1740673276 | Purwaai Chand Matriya | Family Medicine | 10810 Connecticut Ave, Kensington, MD 20895-2138 | 2015-03-09 |
1043625197 | Alice Lee | Pharmacist | 10810 Connecticut Ave, Kensington, MD 20895-2138 | 2014-06-27 |
1912310673 | Kristin Stupiansky | Optometrist | 10810 Connecticut Ave, Kensington, MD 20895 | 2014-06-10 |
1316376809 | Song Zhan | Physical Therapist | 10810 Connecticut Ave, Kensington, MD 20895-2138 | 2013-11-05 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760015457 | Express Yourself Therapy | Occupational Therapist | 3930 Kowles Ave Suite 306, Kensington, MD 20895 | 2020-02-20 |
1891343992 | Christine Brandt | Nurse Practitioner | 10605 Concord St Ste 300, Kensington, MD 20895 | 2019-09-01 |
1194291765 | Kevin Charles Lorello | Physical Therapy Assistant | Kensington Park, 3620 Littledale Rd, Kensington, MD 20895 | 2018-10-22 |
1689154981 | Ryan Rehabilitation LLC | Counselor | 3821 Farragut Ave, Kensington, MD 20895 | 2018-08-16 |
1659865673 | Edward Li | Pharmacist | 5110 Nicholson Lane, Kensington, MD 20895 | 2018-06-22 |
1245735919 | Kyeshia White | Behavior Technician | 5268-g Nicholson Lane #188, Kensington, MA 20895 | 2018-03-26 |
1073036778 | Andrea Zawatsky | Social Worker | 20895 Concord St, 207, Kensington, MD 20895 | 2017-07-25 |
1871981860 | Rebecca Abramson | Counselor | 3702 Perry Ave, Kensington, MD 20895 | 2014-12-30 |
1730505744 | Claire Lerner | Social Worker | 3841 Farragut Avenue, Abrams and Associates, Kensington, MD 20895 | 2014-03-14 |
1588002224 | Yitbarek Abebe | Pharmacist | 3200 Red Orchid Way, Kensington, MD 20895 | 2013-06-04 |
Find all providers in zip 20895 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942847470 | Bianca D Larios | Nurse Practitioner | 10901 Conn Ave Ste 100, Kensington, MD 20895-1645 | 2019-12-03 |
1891343992 | Christine Brandt | Nurse Practitioner | 10605 Concord St Ste 300, Kensington, MD 20895 | 2019-09-01 |
1588954234 | Christina Nichol Byam | Nurse Practitioner | 10335 Kensington Pkwy Ste G, Kensington, MD 20895-3359 | 2011-04-14 |
1881118479 | Rebecca Sanchez | Nurse Practitioner | 211 New Britain Rd, Kensington, CT 06037-1360 | 2017-07-26 |
1780055491 | Fabiola Lucia Costello | Nurse Practitioner | 10901 Connecticut Ave Ste 100, Kensington, MD 20895-1645 | 2015-10-08 |
1356572093 | Karen L Jones | Nurse Practitioner | 10810 Connecticut Ave, Kaiser Permanente Kensington Medical Center, Kensington, MD 20895-2138 | 2009-07-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235730318 | My Clinical Coordinator LLC | Nurse Practitioner | 11720 Belsville Drive, Suite 500-a44, Beltsville, MD 20705 | 2020-11-04 |
1639779432 | Daniel A Mesfin | Nurse Practitioner | 14528 Fairdale Rd, Silver Spring, MD 20905-6526 | 2020-10-30 |
1043810849 | Olushola Taiwo Adekoya | Nurse Practitioner | 6909 Crossfield Ct, Clarksville, MD 21029-1749 | 2020-10-29 |
1598365082 | Chibuzor Susan Igolo | Nurse Practitioner | 4494 N Palmer Rd N, Bethesda, MD 20814 | 2020-10-26 |
1013516640 | Heather Mekins | Nurse Practitioner | 721 Bridge Dr, Pasadena, MD 21122-4553 | 2020-10-24 |
1962001818 | Shannon Nicole Martin | Nurse Practitioner | 924 Seton Dr # C, Cumberland, MD 21502-1851 | 2020-10-21 |
1336748672 | Taneka Lee | Nurse Practitioner | 5415 Force Rd, Baltimore, MD 21206-4617 | 2020-10-19 |
1811596281 | Winners Healthcare Services LLC | Nurse Practitioner | 1529 Winfields Ln, Gambrills, MD 21054-1127 | 2020-10-18 |
1518565324 | Kanisha Tonya Aaron | Nurse Practitioner | 9401 Groveton Cir Apt 311, Owings Mills, MD 21117-8299 | 2020-10-14 |
1891393765 | Winsome Boykin | Nurse Practitioner | 7231 Parkway Dr, Hanover, MD 21076-1788 | 2020-10-13 |
Find all providers with the same taxonomy |
City | KENSINGTON |
Zip Code | 20895 |
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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.