MRS. LARISSA GBONE (NPI# 1467925909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467925909 |
| Entity Type | Individual |
| Full Name | MRS. LARISSA GBONE |
| Credential | NP |
| Practice Address |
7505 Cinnabar Ter Gaithersburg MD 20879-4576 |
| Practice Telephone | 2027584097 |
| Mailing Telephone | 2027584097 |
| Enumeration Date | 2019-01-08 |
| Last Update Date | 2019-01-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R194251 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NURSING LICENSE | R194251 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 18530 Office Park Dr, Montgomery Village, MD 208860586 | 2027584097 |
| Street Address |
7505 CINNABAR TER |
| City | GAITHERSBURG |
| State | MD |
| Zip Code | 20879-4576 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565688 | Mark Schulze | Behavior Technician | 20620 Prathertown Rd., Gaithersburg, MD 20879 | 2020-10-12 |
| 1497242705 | Ajena Callaway | Occupational Therapist | 354 A Christopher Avenue, Gaithersburg, MD 20879 | 2018-04-23 |
| 1952702789 | Alan Huang | Physical Therapist | 18603 Tribble Way, Gaithersburg, MD 20879 | 2014-09-11 |
| 1225452089 | Benefitcare Inc. | Home Health | 18211d Flower Hill Way, Gaithersburg, MD 20879 | 2014-02-13 |
| 1578832739 | Thomas Yoon | Dentist | 20219 Goshen Rd, Gaithersburg, MD 20879 | 2011-12-17 |
| 1962637090 | Team Care, LLC | Non-emergency Medical Transport (VAN) | 8041 Cessna Avenue, Suite 200, Gaithersburg, MD 20879 | 2009-05-19 |
| 1730327412 | Maryland Home Health, LLC | Home Health | 2 Professional Drive, Suite 241, Gaithersburg, MD 20879 | 2009-02-03 |
| 1528223740 | Behzad Mirdamadi | Dentist | 18218 Flower Hill Way, Dental Suite Habibi and Mirdamadi, D.d.s., P.a., Gaithersburg, MD 20879 | 2008-07-28 |
| 1265696322 | Nargess Mirhakkak Biparva | Dentist | 941 B Russell Ave, Gaithersburg, MD 20879 | 2008-07-17 |
| 1891818639 | Carolyn June Figard | Counselor | 933 Russess Ave., Suite D, Gaithersburg, MD 20879 | 2007-04-09 |
| Find all providers in zip 20879 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417566944 | Olawale Wale - Aremu | Nurse Practitioner | 8963 Centerway Rd, Gaithersburg, MD 20879-1802 | 2020-07-30 |
| 1700410529 | Emile Wendeu Foyet | Nurse Practitioner | 18415 Lost Knife Cir Apt 202, Gaithersburg, MD 20886-0461 | 2020-03-02 |
| 1841759065 | Joanne Boccuzzi Kulesh | Nurse Practitioner | 18513 Traxell Way, Gaithersburg, MD 20879-1797 | 2019-03-18 |
| 1952814634 | John Mccarthy | Nurse Practitioner | 21034 Woodfield Rd, Gaithersburg, MD 20882-1203 | 2017-11-16 |
| 1982121976 | Myriam Diatta | Nurse Practitioner | 818 W Diamond Ave Ste 130, Gaithersburg, MD 20878-1417 | 2017-08-29 |
| 1770015794 | Ginette Flore Ndingue | Nurse Practitioner | 10810 Darnestown Rd Ste 202, Gaithersburg, MD 20878-2601 | 2017-03-29 |
| 1831508878 | Lori Lucas | Nurse Practitioner | 555 Quince Orchard Rd Ste 350, Gaithersburg, MD 20878-1437 | 2014-08-04 |
| 1043558539 | Robin Nicole Godwin | Nurse Practitioner | 19309 Kildonan Dr, Gaithersburg, MD 20879-4751 | 2013-01-18 |
| 1386993640 | Adele Hagen | Nurse Practitioner | Medimmune Health and Wellness Center, 1 Medimmune Way, Gaithersburg, MD 20878 | 2012-09-02 |
| 1699091603 | Leila Abedi | Nurse Practitioner | 17051 Oakmont Ave Ste B, Gaithersburg, MD 20877-4142 | 2010-04-15 |
| Find all providers in GAITHERSBURG | ||||
| City | GAITHERSBURG |
| Zip Code | 20879 |
Please comment or provide details below to improve the information on MRS. LARISSA GBONE.
| 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.