JAVONNA O'BRIEN (NPI# 1417479395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417479395 |
| Entity Type | Individual |
| Full Name | JAVONNA O'BRIEN |
| Credential | FNP-BC |
| Practice Address |
5 Garrett Ave La Plata MD 20646-5960 |
| Mailing Address |
4719 Queens Grove St White Plains MD 20695-3483 |
| Practice Telephone | 3016094000 |
| Mailing Telephone | 3016383851 |
| Enumeration Date | 2017-07-12 |
| Last Update Date | 2017-07-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | R189425 | MD | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R-189425 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5 GARRETT AVE |
| City | LA PLATA |
| State | MD |
| Zip Code | 20646-5960 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992701825 | Civista Medical Center Inc. | General Acute Care Hospital | 5 Garrett Ave, La Plata, MD 20646-5960 | 2005-06-24 |
| 1245883685 | Dena R Marseglia | Registered Nurse | 5 Garrett Ave, La Plata, MD 20646-5960 | 2019-07-23 |
| 1326514613 | Brandon Timothy Pace | Nurse Anesthetist, Certified Registered | 5 Garrett Ave, La Plata, MD 20646-5960 | 2018-10-15 |
| 1841776531 | Naureen Khan | Internal Medicine | 5 Garrett Ave, La Plata, MD 20646-5960 | 2018-07-16 |
| 1366932287 | Mamata Blon | Physician Assistant | 5 Garrett Ave, La Plata, MD 20646-5960 | 2018-05-16 |
| 1962910794 | Laanita Gillispie | Registered Nurse | 5 Garrett Ave, La Plata, MD 20646-5960 | 2018-01-15 |
| 1063925873 | Chelsea Dawn Hughes | Internal Medicine | 5 Garrett Ave, La Plata, MD 20646-5960 | 2017-11-15 |
| 1841712254 | Qler Physician Medical Group, P.a. | Psychiatry & Neurology | 5 Garrett Ave, La Plata, MD 20646-5960 | 2017-07-07 |
| 1053840884 | Njideka Oguejiofor | Internal Medicine | 5 Garrett Ave, La Plata, MD 20646-5960 | 2017-06-06 |
| 1750730222 | Melissa James | Nurse Practitioner | 5 Garrett Ave, La Plata, MD 20646-5960 | 2016-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932718822 | Charles Regional Surgical Center LLC | Clinic/Center | 5 North Laplata Court, 2nd Floor, Laplata, MD 20646 | 2020-07-27 |
| 1902387988 | Sheldon Villarta | Physical Therapist | 10200 La Plata Town, La Plata, MD 20646 | 2018-08-27 |
| 1912485244 | Kelli Hill Goldsborough | Nurse Practitioner | 5 N La Plata Ct Ste 101, La Plata, MD 20646 | 2018-07-30 |
| 1083128490 | Charles County Rescue Squad Inc | Ambulance | 2 Calvert St, La Plata, MD 20646 | 2017-11-21 |
| 1801261532 | Catherine Deshetler | Social Worker | 5 N Maple Ave Ste 206, La Plata, MD 20646 | 2015-12-07 |
| 1215346481 | Brittany Godin | Speech-Language Pathologist | 5 Garrett Avenue, La Plata, MD 20646 | 2014-08-12 |
| 1558787606 | Homeplace Assisted Living | Assisted Living Facility | 10210 La Plata Rd, La Plata, MD 20646 | 2014-03-13 |
| 1891056628 | Godfrey T Hewitt | Dentist | 6620 Crain Hwy #204, Laplata, MD 20646 | 2012-06-07 |
| 1740573823 | Armida Bondoc Gonzales | Physical Therapist | 15 S Maple Ave, Apt 2, La Plata, MD 20646 | 2011-05-23 |
| 1023315348 | Charity E Dugan | Surgery | Um Charles Regional Medical Group, 5 North La Plata Court Ste 103, La Plata, MP 20646 | 2011-02-23 |
| Find all providers in zip 20646 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649806514 | Lesley Phillips Rorick | Nurse Practitioner | 115a La Grange Ave Ste 101, La Plata, MD 20646-9592 | 2020-03-23 |
| 1740789791 | Hajr Abdul Qudduws Muhammad | Nurse Practitioner | 103 Centennial St Ste B, La Plata, MD 20646-5985 | 2018-02-06 |
| 1386046019 | Amy Elizabeth Goad | Nurse Practitioner | 115 La Grange Ave Unit A, Suite 101, La Plata, MD 20646-9597 | 2014-09-25 |
| 1306250279 | Travis James Brown | Nurse Practitioner | 29934 July Rd, La Plata, MO 63549-3129 | 2014-06-18 |
| 1669524898 | Georgia E Bewayo | Nurse Practitioner | 6 Garrett Avenue, La Plata, MD 20646-4010 | 2007-01-17 |
| 1912068164 | Foong-chee Joann Cheah | Nurse Practitioner | 500 Charles Street, La Plata, MD 20646-0000 | 2006-12-12 |
| 1285639617 | Paul Michael Patterson | Nurse Practitioner | 115a La Grange Ave, Suite 101, La Plata, MD 20646-9597 | 2005-06-13 |
| 1659988962 | Alyson Lowery | Nurse Practitioner | 103 Centennial St Ste C, La Plata, MD 20646-5985 | 2020-09-30 |
| 1942859657 | Lana Smith | Nurse Practitioner | 404 Charles St, La Plata, MD 20646-3526 | 2019-09-05 |
| 1386118867 | Constance Fox | Nurse Practitioner | 103 Centennial St Ste B, La Plata, MD 20646-5985 | 2019-01-17 |
| Find all providers in LA PLATA | ||||
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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.