CHERYL LYNN ABBOTT (NPI# 1366743122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366743122 |
| Entity Type | Individual |
| Full Name | CHERYL LYNN ABBOTT |
| Credential | RN,BSN,CM-C |
| Practice Address |
1221 Mercantile Ln Largo MD 20774-5374 |
| Mailing Address |
314 Jo Dr Upper Marlboro MD 20774-5774 |
| Practice Telephone | 3016185672 |
| Mailing Telephone | 3013362667 |
| Enumeration Date | 2010-11-10 |
| Last Update Date | 2010-11-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC0400X |
Registered Nurse Specialization: Case Management |
R100074 | MD | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740763473 | Cheryl Abbott | Behavior Technician | 41521 W 11 Mile Rd # Nov, Novi, MI 48375-1803 | 2018-09-10 |
| Street Address |
1221 MERCANTILE LN |
| City | LARGO |
| State | MD |
| Zip Code | 20774-5374 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164425419 | Stephen J Ilario | Orthopaedic Surgery | 1221 Mercantile Ln, Largo, MD 20774-5374 | 2005-05-31 |
| 1780215020 | Malika Tamara Haylock-jones | Nurse Practitioner | 1221 Mercantile Ln, Largo, MD 20774-5374 | 2020-01-27 |
| 1346888427 | Kaiser Foundation Health Plan of The Mid-atlantic States, Inc. | Clinic/Center | 1221 Mercantile Ln, Largo, MD 20774-5374 | 2019-12-19 |
| 1164069449 | Ashasha Tselat Sumbatyan | Physical Therapy Assistant | 1221 Mercantile Ln, Largo, MD 20774-5374 | 2019-12-05 |
| 1598316184 | Deepa L Cruz | Registered Nurse | 1221 Mercantile Ln, Largo, MD 20774-5374 | 2019-09-25 |
| 1639720204 | Charmaine Andra Mckie | Registered Nurse | 1221 Mercantile Ln, Largo, MD 20774-5374 | 2019-09-25 |
| 1669028338 | Shanelle Moore | Family Medicine | 1221 Mercantile Ln, Largo, MD 20774-5374 | 2019-08-17 |
| 1356815112 | Nanah Hannah Sevalie | Nurse Practitioner | 1221 Mercantile Ln, Largo, MD 20774-5374 | 2019-01-15 |
| 1215436183 | Shadana Maddox | Pharmacist | 1221 Mercantile Ln, Largo, MD 20774-5374 | 2018-02-06 |
| 1336650878 | Kyla Trenay Scott | Registered Nurse | 1221 Mercantile Ln, Largo, MD 20774-5374 | 2017-10-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922637156 | Marie Charlotte Teboutsou Tsodzou | Nurse Practitioner | 9317 Lavall Drive, Upper Marlboro, MD 20774 | 2020-04-08 |
| 1467093443 | Richland Support Services Corp. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11551 Joyceton Drive, Upper Marlboro, MD 20774 | 2019-10-01 |
| 1770134124 | Alan L Kahn | Counselor | 301 Largo Rd., Largo, MD 20774 | 2019-09-26 |
| 1619522034 | Francisca Ifeoma Alintah | Registered Nurse | 511 Dennis Magruder Dr., Upper Marlboro, MD 20774 | 2019-08-02 |
| 1609337146 | Crystal Osuchukwu | Counselor | 1300 Mccormick Dr, Upper Marlboro, MD 20774 | 2019-03-27 |
| 1861968489 | Collaborative Concepts of Maryland | Counselor | 1400 Mercantile Lane, Suite 208, Largo, MD 20774 | 2018-10-22 |
| 1073097622 | Triple Angels Homecare Services, Inc. | In Home Supportive Care | 1210 Dixie Bowie Way, Upper Marlboro, MD 20774 | 2018-09-19 |
| 1922589654 | Optimum Resource Services, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 711 Harry S. Truman Dr, Unit #105, Largo, MD 20774 | 2018-08-21 |
| 1811475254 | Kolawole Richard Olatunde | Home Health Aide | 11405 Villa Court, Upper Marlboro, MD 20774 | 2018-07-28 |
| 1548747769 | Tiara Williams | Counselor | 15207 Harriet Clotilda Way, Upper Marlboro, MD 20774 | 2018-07-20 |
| Find all providers in zip 20774 | ||||
| Taxonomy Code | 163WC0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184925943 | Wendy G Parker Hughes | Registered Nurse | 1221 Mercantile Ln, Largo, MD 20774-5374 | 2010-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942822929 | Sandra Theresa Pabst | Registered Nurse | 305 Tecumseh Way, Havre De Grace, MD 21078-2870 | 2020-05-12 |
| 1760018634 | New Birth Benefit | Registered Nurse | 1910 Cavalier Cir, Crofton, MD 21114-1705 | 2020-03-23 |
| 1710517040 | Aykea Evans-brown | Registered Nurse | 7804 Putnam Ln, District Heights, MD 20747-3723 | 2020-01-26 |
| 1194281451 | Rica Banfield | Registered Nurse | 2832 Huntingdon Ave, Baltimore, MD 21211-2921 | 2019-02-12 |
| 1770073157 | Carole Staley Collins | Registered Nurse | 4915 Annapolis Rd, Bladensburg, MD 20710-1224 | 2018-05-11 |
| 1639699630 | Andrea K Kamara | Registered Nurse | 7566 Teague Road, Hanover, MD 21076 | 2017-06-21 |
| 1730624024 | Kayoko Corbet | Registered Nurse | 9 Rambling Oaks Way, Catonsville, MD 21228-1541 | 2016-12-22 |
| 1306397815 | Joseph Reeves | Registered Nurse | 510 Swaggers Point Rd, Solomons, MD 20688-3010 | 2016-10-19 |
| 1205288123 | Meisha Woolford | Registered Nurse | 753 Foxtail Dr, Cambridge, MD 21613-1494 | 2016-07-02 |
| 1609246958 | Zakaria Muturi | Registered Nurse | 19363 Circle Gate Dr, #104, Germantown, MD 20874-5243 | 2015-09-29 |
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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.