BREANNA WHITLOCK (NPI# 1376910331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376910331 |
| Entity Type | Individual |
| Full Name | BREANNA WHITLOCK |
| Credential | MS, FNP-BC |
| Practice Address |
6420 Rockledge Dr Suite 4100 Bethesda MD 20817-7837 |
| Practice Telephone | 3015305151 |
| Practice Fax Number | 3015307735 |
| Mailing Telephone | 3015305151 |
| Mailing Fax Number | 3015307735 |
| Enumeration Date | 2015-08-26 |
| Last Update Date | 2015-11-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 205443 | CO | Nursing Service Providers |
| N | 163W00000X | Registered Nurse | 0001260669 | VA | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AC001604 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
6420 ROCKLEDGE DR SUITE 4100 |
| City | BETHESDA |
| State | MD |
| Zip Code | 20817-7837 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306849716 | Stephen S. Pappas Jr. | Ophthalmology | 6420 Rockledge Dr, Ste 4900, Bethesda, MD 20817-7848 | 2005-05-31 |
| 1497364400 | Joyce Hamba | Obstetrics & Gynecology | 6420 Rockledge Dr, Bethesda, MD 20817-7837 | 2020-07-26 |
| 1649722166 | Kevin I. Perman, Md PC | Ophthalmology | 6420 Rockledge Dr, Suite 4300, Bethesda, MD 20817-7837 | 2016-11-01 |
| 1205290129 | Albert Cytryn Md P.C. | Ophthalmology | 6420 Rockledge Dr, Suite 4300, Bethesda, MD 20817-7837 | 2016-04-06 |
| 1417345950 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 6420 Rockledge Dr, Suite 4290, Bethesda, MD 20817 | 2015-01-07 |
| 1407272396 | Jessica Anne Mukherjee | Registered Nurse | 6420 Rockledge Dr, Suite 4200, Bethesda, MD 20817-7837 | 2014-03-15 |
| 1104104280 | Elan Reisin Md Facs LLC | Plastic Surgery | 6420 Rockledge Dr, Suite 2300, Bethesda, MD 20817-7837 | 2011-07-24 |
| 1225361751 | Suburban Hospital, Inc. | Clinic/Center | 6420 Rockledge Dr, Suite 4100, Bethesda, MD 20817-7837 | 2009-09-16 |
| 1700013521 | Shaun Chandra Desai | Otolaryngology | 6420 Rockledge Dr, Suite 4920, Bethesda, MD 20817-7837 | 2009-06-18 |
| 1861631095 | Ion Healthcare Corporation | Durable Medical Equipment & Medical Supplies | 6420 Rockledge Dr, Bethesda, MD 20817-7837 | 2009-02-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972135291 | Super Smile Center of Bethesda | Dentist | 10320 Westlake Dr., Suite# 109, Bethesda, MD 20817 | 2020-02-05 |
| 1659918175 | Morgan Cheatham | Behavior Technician | Attn: Behavioral Health Works 6701 Democracy Blvd, Suite 300, Bethesda, MD 20817 | 2019-12-03 |
| 1780233601 | Natalie Milazzo | Behavior Technician | Attattn: Behavioral Health Works 6701 Democracy Blvd., Suite 300, Bethesda, MD 20817 | 2019-09-04 |
| 1366090649 | Sarah Danko | Behavior Technician | Attn: Behavioral Health Works 6701 Democracy Blvd., Suite 300, Bethesda, MD 20817 | 2019-08-29 |
| 1679120760 | Markita Mccurdy | Behavior Technician | 6701 Democracy Blvd., Suite 300, Bethesda, MD 20817 | 2019-08-22 |
| 1548716277 | Roberta Glass | Psychiatry & Neurology | 9806 Marquette Dr., Bethesda, MD 20817 | 2016-09-01 |
| 1952725525 | Jenna Kuhn | Student in an Organized Health Care Education/Training Program | 6701 Democracy Blvd. Attn: Behavioral Health Works, Suite 300, Bethesda, MD 20817 | 2014-02-18 |
| 1912338088 | Nayereh Nina Ghamarian | Dentist | 6017 Bradley Blvd, Bethesda, MD 20817 | 2013-11-27 |
| 1386076495 | Hugo Galindo | Physical Therapist | 6410 Rockledge Drive, Suite 100, Nrh Rehabilitation Network Bethesda, Bethesda, MD 20817 | 2013-07-31 |
| 1538509260 | Anameti Usoro | Anesthesiology | 6430 Rockledge Dr Ste 160, Bethesda, MD 20817 | 2013-06-26 |
| Find all providers in zip 20817 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598365082 | Chibuzor Susan Igolo | Nurse Practitioner | 4494 N Palmer Rd N, Bethesda, MD 20814 | 2020-10-26 |
| 1407454671 | Yasamin Baghaipour | Nurse Practitioner | 10115 Parkwood Dr, Bethesda, MD 20814-4033 | 2020-10-11 |
| 1174132682 | Touko Leuga | Nurse Practitioner | 6410 Rockledge Dr Ste 110, Bethesda, MD 20817-1825 | 2020-07-30 |
| 1073170346 | Tonya Lynn Jenkins | Nurse Practitioner | 10 Center Drive 3ne, Bethesda, MD 20892-0001 | 2019-05-22 |
| 1366909848 | Crystal Flowers | Nurse Practitioner | Bg 10-crc Rm 1-3750, 10 Center Dr, Bethesda, MD 20814 | 2019-02-21 |
| 1043718653 | Mahsa Motevalli | Nurse Practitioner | 8600 Old Georgetown Rd Fl 6, Bethesda, MD 20814 | 2018-01-29 |
| 1558806778 | Keshia C Thompson | Nurse Practitioner | National Institutes of Health Building 10, Room 2c145, Bethesda, MD 20892-1662 | 2016-12-23 |
| 1083160402 | Britanny Brooke Solarz | Nurse Practitioner | 10 Center Drive Building 10 2b46, Bethesda, MD 20892-0001 | 2016-08-26 |
| 1710333281 | Deirdre Fionna Angelastro | Nurse Practitioner | 4938 Saint Elmo Ave, Bethesda, MD 20814-6008 | 2016-05-13 |
| 1902262447 | Relia Atienza | Nurse Practitioner | National Institute of Br, 10 Center Drive, Bethesda, MD 20892-0001 | 2016-01-13 |
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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.