MS. DEBORAH CARROLL GOOTEE (NPI# 1356337208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356337208 |
| Entity Type | Individual |
| Full Name | MS. DEBORAH CARROLL GOOTEE |
| Credential | PSYCHIATRIC NURSE PR |
| Practice Address |
29516 Canvasback Dr Easton MD 21601-7140 |
| Mailing Address |
2336 Goddard Pkwy Salisbury MD 21801-1126 |
| Practice Telephone | 4108225007 |
| Practice Fax Number | 4108225569 |
| Mailing Telephone | 4103346961 |
| Mailing Fax Number | 4103346362 |
| Enumeration Date | 2005-09-26 |
| Last Update Date | 2015-08-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | R053273 | MD | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
R053273 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | COMMERCIAL INS | 522156095 | 01 |
| MD | 609550002 | 05 | |
| MD | 774800100 | 05 |
| Street Address |
29516 CANVASBACK DR |
| City | EASTON |
| State | MD |
| Zip Code | 21601-7140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609183995 | Keegan Marie Evans | Counselor | 29516 Canvasback Dr, Suite 200, Easton, MD 21601-7140 | 2010-09-08 |
| 1295968683 | Monick Nicole Conway | Social Worker | 29516 Canvasback Dr, Suite 200, Easton, MD 21601-7140 | 2009-09-01 |
| 1396971545 | Shavonte Jamesia Robinson | Counselor | 29516 Canvasback Dr, Suite 200, Easton, MD 21601-7140 | 2009-06-02 |
| 1568602415 | Mark Monte Murray | Counselor | 29516 Canvasback Dr, Suite 200, Easton, MD 21601-7140 | 2009-03-04 |
| 1821236845 | Tracy Lynn Stammer | Counselor | 29516 Canvasback Dr, Suite 200, Easton, MD 21601-7140 | 2009-01-29 |
| 1821247586 | John Wesly Tripline | Counselor | 29516 Canvasback Dr, Easton, MD 21601-7140 | 2008-09-17 |
| 1568610467 | Elizabeth Annabel Barnett | Counselor | 29516 Canvasback Dr, Easton, MD 21601-7140 | 2008-09-04 |
| 1316103724 | Stacey Ann Poulos | Counselor | 29516 Canvasback Dr, Easton, MD 21601-7140 | 2008-08-05 |
| 1144400359 | Lonnelle Antonio Green I | Counselor | 29516 Canvasback Dr, Easton, MD 21601-7140 | 2007-11-06 |
| 1245309533 | Sally W Vermilye | Social Worker | 29516 Canvasback Dr, Easton, MD 21601-7140 | 2006-11-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588205215 | Jodi Windsor Kindt | Nurse Practitioner | Aamg Talbot Primary Care, 28438 Marlboro Avenue, Easton, MD 21601 | 2019-10-03 |
| 1902466998 | Christina Deleon | Physician Assistant | 403 Marvel Court, Easton, MD 21601 | 2019-06-20 |
| 1710458583 | Patricia Vilani | Occupational Therapy Assistant | 12 Magnolia, Easton, MD 21601 | 2018-12-05 |
| 1538687702 | Kristin Dabbs Wilkerson | Counselor | 29520 Canvasback Drive, Easton, MD 21601 | 2017-09-07 |
| 1356869978 | Angela Lynn Rutherford | Physical Therapy Assistant | 610 Dutchman's Ln, Easton, MD 21601 | 2017-09-04 |
| 1851842389 | Myeyedr Optometry of Maryland, LLC | Optometrist | 28522 Marlboro Ave, Ste A, Easton, MD 21601 | 2016-10-19 |
| 1659721991 | Lauren Strady | Pediatrics | 500 Cadmus Ln Ste 210, Easton, MD 21601 | 2016-06-17 |
| 1194174391 | Statcare Group IIi, PC | Clinic/Center | 28522-c Marlboro Avenue, Easton, MD 21601 | 2016-06-08 |
| 1245684224 | Christina M Ball | Nurse Practitioner | 545 Cynwood Drive, Easton, MD 21601 | 2016-04-15 |
| 1205220274 | Rebecca Ann Ruby Ailstock | Midwife | 508 Idlewild Ave Ste 3, Easton, MD 21601 | 2015-03-26 |
| Find all providers in zip 21601 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053951004 | Aisha Hassan-davis | Nurse Practitioner | 29520 Canvasback Dr, Easton, MD 21601-7124 | 2020-01-07 |
| 1063060515 | Catherine M Myers | Nurse Practitioner | 498 Washington St, Easton, PA 18042-4432 | 2019-08-28 |
| 1922503978 | Brenda L Soloe | Nurse Practitioner | 241 N 13th St, Easton, PA 18042-3211 | 2018-03-29 |
| 1063840262 | Lateshia Jackson | Nurse Practitioner | 8737 Brooks Dr Ste 108, Easton, MD 21601-7474 | 2013-10-24 |
| 1144667957 | Teresa Callahan Hulseman | Nurse Practitioner | 29520 Canvasback Dr, Easton, MD 21601-7124 | 2013-06-03 |
| 1063777043 | Anastasia Leigh Tusa | Nurse Practitioner | 8614 Ocean Gtwy, Ste 4, Easton, MD 21601-7217 | 2012-07-06 |
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| 1245839653 | Itoro Abatai | Nurse Practitioner | 9620 Maxwell Rd, Middle River, MD 21220-3792 | 2020-10-19 |
| 1992304372 | Catherine Koskei | Nurse Practitioner | 2295 Lowell Ridge Rd Apt B, Parkville, MD 21234-2370 | 2020-10-18 |
| 1194323857 | Meliora Davies | Nurse Practitioner | 206 Settlers Way, Upper Marlboro, MD 20774-5770 | 2020-10-14 |
| 1932707171 | David Mwangi | Nurse Practitioner | 27 Blue Spire Cir, Middle River, MD 21220-1743 | 2020-10-10 |
| 1750989042 | Osereme Nora Agboifo | Nurse Practitioner | 200 Ejoppa Rd Suite 106, Townson, MD 21286 | 2020-10-09 |
| 1639776446 | Serenity Heart Healthcare, LLC | Nurse Practitioner | 6755 Business Pkwy Ste 304, Elkridge, MD 21075-6740 | 2020-10-05 |
| 1689281529 | Premier Psychiatry, LLC | Nurse Practitioner | 10601 Virginia Ave, Cockeysville, MD 21030-2315 | 2020-09-24 |
| 1407462559 | Mem Scepter Home & Behavioral | Nurse Practitioner | 14104 Dawn Whistle Way, Bowie, MD 20721-1304 | 2020-09-23 |
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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.