CASSANDRA HERBERT (NPI# 1356630024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356630024 |
| Entity Type | Individual |
| Full Name | CASSANDRA HERBERT |
| Credential | APRN/PMH-BC |
| Practice Address |
5026 Dorsey Hall Dr Suite 205 Ellicott City MD 21042-7852 |
| Mailing Address |
3756 Angelton Ct Burtonsville MD 20866-2059 |
| Practice Telephone | 4104151454 |
| Enumeration Date | 2011-04-04 |
| Last Update Date | 2012-12-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WA0400X |
Registered Nurse Specialization: Addiction (Substance Use Disorder) |
R148305 | MD | Nursing Service Providers |
| Y | 364SP0809X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Adult |
R148305 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5026 DORSEY HALL DR SUITE 205 |
| City | ELLICOTT CITY |
| State | MD |
| Zip Code | 21042-7852 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861950792 | Danielle Coliukos | Student in an Organized Health Care Education/Training Program | 3006 Fawnwood Dr, Ellicott City, MD 21042 | 2019-03-11 |
| 1700356110 | Sung Hee Moon | Acupuncturist | 9005 Chevrolet Dr #4, Ellicott City, MD 21042 | 2018-11-28 |
| 1902375009 | Sharon N Allen | Speech-Language Pathologist | Hcpss, 10910 Clarksville Pike, Ellicott City, MD 21042 | 2018-11-19 |
| 1043700412 | Samirawit Hailemariam | Registered Nurse | 9527 Liverpool Lane, Ellicott City, MD 21042 | 2018-05-11 |
| 1144771965 | Maryland Psychotherapy Services | Community/Behavioral Health | 7054 Dorsey Hall Dr., Suite 104, Ellicott City, MD 21042 | 2016-10-17 |
| 1861851321 | The Lutheran Village At Miller's Grant, Inc. | Skilled Nursing Facility | 9000 Fathers Legacy, Ellicott City, MD 21042 | 2016-02-12 |
| 1942676952 | Hyoung Keun Kim | Dentist | 10033 Baltimore Pike Suite 320, Ellicott City, MD 21042 | 2015-08-13 |
| 1356743553 | Cvs Pharmacy | Pharmacist | 3300a Centennial Lane, Ellicott City, MD 21042 | 2014-09-18 |
| 1821407719 | Zulema Roberts | Counselor | 3355 St. Johns Lane, Suite F, Ellicott City, MD 21042 | 2014-08-05 |
| 1548681638 | Better Life Pain Clinic, Pllc | Physical Medicine & Rehabilitation | 3459 St. John's Lane, Suite 9, Ellicott City, MD 21042 | 2013-12-17 |
| Find all providers in zip 21042 | ||||
| Taxonomy Code | 364SP0809X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548797624 | Regina Kitterman Keefe | Clinical Nurse Specialist | 2911 Olney Sandy Spring Rd Ste C, Olney, MD 20832-3507 | 2017-05-19 |
| 1245668151 | Beatrice Flynn | Clinical Nurse Specialist | 7625 Maple Lawn Blvd Ste 145, Fulton, MD 20759-2565 | 2013-10-31 |
| 1972896090 | Jo Carney Deaton | Clinical Nurse Specialist | 22 Woodlawn Ave, Apt. A, Catonsville, MD 21228-3431 | 2011-05-23 |
| 1487955530 | Linda Lewis Dwyer | Clinical Nurse Specialist | 1210 Emerald Ridge Dr, Westminster, MD 21158-3643 | 2010-11-05 |
| 1649506387 | Cecilia Y Lau | Clinical Nurse Specialist | 604 S Frederick Ave, Suite 213, Gaithersburg, MD 20877-1282 | 2009-10-31 |
| 1003059106 | Ellen Susan Russo | Clinical Nurse Specialist | Circle Drive, Building 5h, Perry Point, MD 21902 | 2009-04-20 |
| 1871765313 | Maria Dias Raynal | Clinical Nurse Specialist | 5805 Springfield Dr, Bethesda, MD 20816-1235 | 2008-03-25 |
| 1164638086 | Kathryn Demarinis Capozzoli | Clinical Nurse Specialist | 4 Riggs Ave, Severna Park, MD 21146 | 2007-05-15 |
| 1679652663 | Ruth A Yates | Clinical Nurse Specialist | 515 Piccadilly Road, Towson, MD 21204-3716 | 2006-11-02 |
| 1063502466 | Kathleen Brooks Hurley | Clinical Nurse Specialist | 4509 Hornbeam Dr, Rockville, MD 20853-1416 | 2006-10-13 |
| Find all providers with the same taxonomy | ||||
| City | ELLICOTT CITY |
| Zip Code | 21042 |
Please comment or provide details below to improve the information on CASSANDRA HERBERT.
| 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.