MRS. LEE SHIN NICHOLSON


Address: 10810 Connecticut Ave, Kaiser Permanente Kensington Medical Center, Kensington, MD 20895-2138
Phone: 3019297100

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
R136233 MD Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 10810 CONNECTICUT AVE
KAISER PERMANENTE KENSINGTON MEDICAL CENTER
City KENSINGTON
State MD
Zip Code 20895-2138

Providers in the same location

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
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Providers in the same zip code

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
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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
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

Providers in the same taxonomy and state

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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
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Competitor

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City KENSINGTON
Zip Code 20895

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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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