MS. NICOLE RUDD (NPI# 1427528819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427528819 |
| Entity Type | Individual |
| Full Name | MS. NICOLE RUDD |
| Credential | LCPC |
| Practice Address |
4315 Northview Dr Bowie MD 20716 |
| Mailing Address |
14817 Dolphin Way Bowie MD 20721-3081 |
| Practice Telephone | 2024060929 |
| Enumeration Date | 2018-11-28 |
| Last Update Date | 2018-11-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LC9174 | MD | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912385386 | Nicole Rudd | Social Worker | 829 Camino Rd, Apt 210, Delray Beach, FL 33445-8739 | 2015-05-18 |
| Street Address |
4315 NORTHVIEW DR |
| City | BOWIE |
| State | MD |
| Zip Code | 20716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871137638 | Omolola Victoria Imani | Counselor | 4315 Northview Dr, Bowie, MD 20716-2600 | 2019-11-04 |
| 1790337947 | Scott Counseling Services | Counselor | 4315 Northview Dr, Bowie, MD 20716-2600 | 2019-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508330903 | Stacey Katheryn Lundquist | Counselor | 3060 Michellville Rd, Suite 106, Bowie, MD 20716 | 2019-01-18 |
| 1427541838 | Outreach Recovery II, LLC | Internal Medicine | 4201 Northview Dr Ste 104, Bowie, MD 20716 | 2018-06-11 |
| 1487143608 | Fatimata Koroma | Counselor | 3953 Elite St, Bowie, MD 20716 | 2018-05-02 |
| 1043739618 | Breanna Collinson | Behavior Technician | 3017 New Oak Ln., Bowie, MD 20716 | 2017-09-15 |
| 1790202000 | Sierra Williams Howell | Nurse Practitioner | 2802 Eliston Street, Bowie, MD 20716 | 2017-08-28 |
| 1487175105 | Martine Jean | Technician | 15911 Pointer Ridge Rd, Bowie, MD 20716 | 2017-07-03 |
| 1902254493 | Olachi Enwerem | Licensed Practical Nurse | 16206 Audubon Lane, Bowie, MD 20716 | 2016-05-25 |
| 1780039230 | Debra Lachaune Garris | Specialist | 3042 Mitchiville Road, Bowie, MD 20716 | 2016-05-03 |
| 1750782553 | Medical Trasportation Systems LLC | Non-emergency Medical Transport (VAN) | 16036 Elegant Ave, Bowie, MD 20716 | 2014-09-11 |
| 1255762902 | Sukhbir Singh Bhurji | Physician Assistant | 4000 Mitchellville Rd Ste B322, Bowie, MD 20716 | 2013-12-05 |
| Find all providers in zip 20716 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639789142 | Tiffany Johnon | Counselor | 16703 Governor Bridge Rd Apt 203, Bowie, MD 20716-3678 | 2020-08-09 |
| 1669025276 | Philip Ngu Ngundam | Counselor | 14302 Pleasant View Dr, Bowie, MD 20720-4809 | 2019-07-23 |
| 1538630967 | Chontelai Patterson Mendie | Counselor | 15602 Everglade Ln Apt 303, Bowie, MD 20716-3245 | 2018-12-11 |
| 1952896458 | Carolyn Simms | Counselor | 10111 Martin Luther King Hwy, Suite 103, Bowie, MD 20720 | 2018-06-27 |
| 1013436070 | Adisatu Renner | Counselor | 4202 Taverngreen Lane, Bowie, MD 20721 | 2017-09-11 |
| 1336678911 | Francesca Alexis Montgomery | Counselor | 14008 Heatherstone Dr, Bowie, MD 20720-4830 | 2017-06-07 |
| 1720459340 | Lindsay Jimmink | Counselor | 2709 Federal Ln, Bowie, MD 20715-2310 | 2015-10-08 |
| 1073906640 | Shatoni Hill | Counselor | 10313 Westridge Dr, Bowie, MD 20721-2935 | 2015-03-06 |
| 1861899676 | Sade Marie Crawford | Counselor | 908 Hall Station Dr, 204, Bowie, MD 20721 | 2014-11-21 |
| 1659775112 | Kimberly Robinson | Counselor | 12913 Marquette Ln, Bowie, MD 20715-3029 | 2014-10-13 |
| Find all providers in BOWIE | ||||
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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.