MRS. LATASHA NICOLE BAXTER (NPI# 1497778690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497778690 |
Entity Type | Individual |
Full Name | MRS. LATASHA NICOLE BAXTER |
Other Name | MS. LATASHA NICOLE EVANS |
Credential | CRNP |
Practice Address |
2121 Medical Park Dr Suite 2 Silver Spring MD 20902-4054 |
Mailing Address |
11312 Big Horn Ct Beltsville MD 20705-1428 |
Practice Telephone | 3016813003 |
Mailing Telephone | 7163105495 |
Enumeration Date | 2006-07-26 |
Last Update Date | 2009-06-02 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
R171236 | MD | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MD | 1497778690 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205180601 | Latasha C Baxter | Licensed Practical Nurse | 1714 Macomber St, Toledo, OH 43606-4455 | 2012-11-07 |
Street Address |
2121 MEDICAL PARK DR SUITE 2 |
City | SILVER SPRING |
State | MD |
Zip Code | 20902-4054 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497720247 | James Jaffe | Radiology | 2121 Medical Park Dr, Suite 1, Silver Spring, MD 20902-4054 | 2006-02-22 |
1316181092 | Benjamin Michael Wisotsky | Radiology | 2121 Medical Park Dr, Ste 3, Silver Spring, MD 20902-4054 | 2009-04-27 |
1952320459 | Tifani Davis Gilliam | Radiology | 2121 Medical Park Dr, Ste 3, Silver Spring, MD 20902-4054 | 2006-07-18 |
1477519403 | Sheela D Modin | Radiology | 2121 Medical Park Dr, Suite 4, Silver Spring, MD 20902-4054 | 2006-04-26 |
1891759817 | Daniel H Clarke | Radiology | 2121 Medical Park Dr, Suite 4, Silver Spring, MD 20902-4054 | 2006-04-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508463092 | Zhuozhao Mei, LLC | Dentist | 11514 Georgia Avenue, Silver Spring, MD 20902 | 2020-10-07 |
1942858923 | Joanne Elizabeth Wachowiak | Speech-Language Pathologist | Speech/language Services, 11721 Kemp Mill Rd., Silver Spring, MD 20902 | 2019-09-03 |
1174182893 | Tigist Kasshun Meshesha | Home Health Aide | Cadia Healthcare Wheatob, 4011 Randolph Rd, Silver Spring, MD 20902 | 2019-06-06 |
1265097570 | Susan Crawford | Speech-Language Pathologist | Mcps Speech-language Services, 11721 Kemp Mill Rd, Silver Spring, MD 20902 | 2019-05-02 |
1912470931 | Andrea Voss | Speech-Language Pathologist | Speech and Language Services, 11721 Kemp Mill Road, Silver Spring, MD 20902 | 2019-01-03 |
1003302233 | Zamon Ariel Granger | Private Vehicle | 11633 Veirs Mill Rd, Silver Spring, MD 20902 | 2018-07-11 |
1598259830 | Nechama Malka Koretzky | Speech-Language Pathologist | 1205 North Belgrade Rd, Silver Spring, MD 20902 | 2018-06-20 |
1396238838 | Chun Yin Jethro Mak | Physical Therapist | 2730 University Blvd W Ste 714, Wheaton, MD 20902 | 2018-06-10 |
1942719661 | Right Care Pediatrics Inc | Pediatrics | 2730 University Blvd W Ste 420, Wheaton, MD 20902 | 2017-09-26 |
1881112282 | Michael John Ayun Ayun Cruz | Physical Therapist | 10301 Georgia Ave Suite 105b, Silver Spring, MD 20902 | 2017-09-06 |
Find all providers in zip 20902 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144705104 | Jolly Joseph | Nurse Practitioner | 12705 Summerwood Dr, Silver Spring, MD 20904-1758 | 2018-09-26 |
1376042382 | Joseph Arnell De Dios Rogelio | Nurse Practitioner | 8010 Blair Mill Way Apt 509e, Silver Spring, MD 20910-6849 | 2018-02-05 |
1154850253 | Rosemarie Mccahill Kormanec | Nurse Practitioner | 10313 Georgia Ave Ste 307, Silver Spring, MD 20902-5006 | 2017-06-12 |
1669723961 | Rfom Nurse Practitioner Clinic, LLC | Nurse Practitioner | 8238 Georgia Ave, Silver Spring, MD 20910-4516 | 2012-09-26 |
1437436755 | Adebisi Oduntan Ayodele | Nurse Practitioner | 13020 Gershwin Way, Silver Spring, MD 20904-6811 | 2011-11-15 |
1285877043 | Ann-christin Boley | Nurse Practitioner | 1325 East West Hwy., Ssmc#2, #9300, Silver Spring, MD 20910-3280 | 2009-04-09 |
1538205430 | Cheryl D Fletcher | Nurse Practitioner | 701 Twin Holly Ln, Silver Spring, MD 20910-4665 | 2007-01-29 |
1457455776 | Laurence Lee Trail | Nurse Practitioner | 1126 Hornell Dr, Silver Spring, MD 20905-3770 | 2006-09-08 |
1538125919 | Karen M Sova | Nurse Practitioner | 803 Venice Dr, Silver Spring, MD 20904-2062 | 2006-04-25 |
1851361182 | Lucia Maria Novak | Nurse Practitioner | 2101 Medical Park Dr Ste 211, Silver Spring, MD 20902-4053 | 2006-01-26 |
Find all providers in SILVER SPRING |
City | SILVER SPRING |
Zip Code | 20902 |
Please comment or provide details below to improve the information on MRS. LATASHA NICOLE BAXTER.
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.