FANTA BERETEY (NPI# 1346850609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346850609 |
| Entity Type | Individual |
| Full Name | FANTA BERETEY |
| Practice Address |
10611 Sourwood Ave Waldorf MD 20603-5717 |
| Practice Telephone | 5716231322 |
| Mailing Telephone | 5716231322 |
| Enumeration Date | 2020-08-03 |
| Last Update Date | 2020-08-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | RN1057551 | DC | Nursing Service Providers |
| Street Address |
10611 SOURWOOD AVE |
| City | WALDORF |
| State | MD |
| Zip Code | 20603-5717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437764214 | Kelly Weaver | Nurse Practitioner | 11315 Pembroke Square, 110, Waldorf, MD 20603 | 2020-09-09 |
| 1962937839 | Alexis Nicole Smith | Specialist/Technologist | 6115 Tapir Pl, Waldorf, MD 20603 | 2017-04-27 |
| 1235585472 | Msb Counseling Services, Inc | Counselor | 1282 Smallwood Drive W, Suite 460, Waldorf, MD 20603 | 2016-05-06 |
| 1619390325 | Tara Wood | Nurse Practitioner | 3070crain Highway, Waldorf, MD 20603 | 2014-01-31 |
| 1649603424 | Lauren Ashley White | Speech-Language Pathologist | 10810 Winchester Street Apt127, Waldorf, MD 20603 | 2013-08-15 |
| 1477810067 | Johnathan Vital | Clinical Neuropsychologist | 2413 Altenburg Ct, Waldorf, MD 20603 | 2012-04-19 |
| 1831480615 | Tara Marie Adams | Physical Therapist | 11340 Pembrooke Sq Ste 211, Waldorf, MD 20603 | 2011-04-27 |
| 1891007662 | Tanuja Katta | Pharmacist | 3385 Crain High Way, Rite Aid 11197, Waldorf, MD 20603 | 2010-07-09 |
| 1962725697 | Rhonda Bumpers-bland | Occupational Therapist | 2945 Fern Hill Place, Waldorf, MD 20603 | 2010-03-09 |
| 1265672901 | Shannon L Hamm | Counselor | 6126 Gray Wolf Court, Waldorf, MD 20603 | 2009-02-20 |
| Find all providers in zip 20603 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619502812 | Tanshanicka Shellamice Helem | Registered Nurse | 14409 Frontier Trails Ct, Waldorf, MD 20601-5523 | 2020-03-08 |
| 1780238170 | Angela Taylor | Registered Nurse | 2210 Stream Vista Pl Apt 309, Waldorf, MD 20601-7296 | 2019-07-24 |
| 1881158558 | Deidhra Peter-thomas | Registered Nurse | 6482 Ocelot St, Waldorf, MD 20603-4431 | 2019-01-28 |
| 1275064222 | Gabriela Amaya | Registered Nurse | 11818 Nationals Ln, Waldorf, MD 20602-3278 | 2017-03-22 |
| 1174994487 | Baldeep Kaur | Registered Nurse | 3712 Joy Ln, Waldorf, MD 20603-5903 | 2015-10-13 |
| 1285901959 | Jetaune Cherie Dalton-scales | Registered Nurse | 11601 Lewisham Pl Apt 102, Waldorf, MD 20602-5128 | 2011-11-24 |
| 1215216999 | Tamu L Escalera | Registered Nurse | 2300 Imperial Ct, Waldorf, MD 20602-2207 | 2011-08-11 |
| 1467730549 | Peggy Ann Mcdonald | Registered Nurse | 3635 Satinleaf Ct, Waldorf, MD 20602-2663 | 2011-07-24 |
| 1417235680 | Karen Marie Truitt | Registered Nurse | 12931 Broadview Run Dr, Waldorf, MD 20602-3048 | 2011-07-21 |
| 1003108234 | Healthways | Registered Nurse | 3209 Captain Dement Dr, Waldorf, MD 20603-6044 | 2011-05-05 |
| Find all providers in WALDORF | ||||
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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.