ASONG BENANZEA-FONTEM (NPI# 1578105326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578105326 |
| Entity Type | Individual |
| Full Name | ASONG BENANZEA-FONTEM |
| Practice Address |
8118 Good Luck Rd Lanham MD 20706-3574 |
| Practice Telephone | 3015528007 |
| Enumeration Date | 2019-10-14 |
| Last Update Date | 2019-10-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
R150084 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
8118 GOOD LUCK RD |
| City | LANHAM |
| State | MD |
| Zip Code | 20706-3574 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336149632 | Moustafa S Shamma | Emergency Medicine | 8118 Good Luck Rd, Lanham, MD 20706-3574 | 2005-07-28 |
| 1366040529 | Katrina Frederika Borden | Nurse Anesthetist, Certified Registered | 8118 Good Luck Rd, Lanham, MD 20706-3574 | 2020-10-11 |
| 1972121812 | Tinuke Akinade | Registered Nurse | 8118 Good Luck Rd, Lanham, MD 20706-3574 | 2020-07-08 |
| 1629606561 | Karen Denise Bowie | Nurse Practitioner | 8118 Good Luck Rd, Lanham, MD 20706-3574 | 2020-03-27 |
| 1649805540 | Barbara Andrade | Physical Therapist | 8118 Good Luck Rd, Lanham, MD 20706-3574 | 2020-03-11 |
| 1487299673 | Saffie Bangura | Nurse Practitioner | 8118 Good Luck Rd, Lanham, MD 20706-3574 | 2019-11-11 |
| 1922640408 | Yvette Gomez | Nurse Practitioner | 8118 Good Luck Rd, Lanham, MD 20706-3574 | 2019-10-16 |
| 1548818891 | Paradigm Staffing LLC | Specialist/Technologist, Other | 8118 Good Luck Rd, Lanham, MD 20706-3574 | 2019-08-29 |
| 1184183337 | Judith Lee | Nurse Anesthetist, Certified Registered | 8118 Good Luck Rd, Lanham, MD 20706-3574 | 2019-03-18 |
| 1164988770 | Taylor Nicole Barger | Physician Assistant | 8118 Good Luck Rd, Lanham, MD 20706-3574 | 2019-02-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760046775 | Ayesha Tappin | Occupational Therapist | 4200 Parliament Pl. Ste 550, Lanham, MD 20706 | 2019-04-24 |
| 1790240646 | Himabindu Gangavarapu Vinodrao | Nurse Practitioner | 8118, Good Luck Road, Lanhham, MD 20706 | 2019-02-05 |
| 1538644943 | Win Team, LLC | Clinic/Center | 10001 Derekwood Lane, Suite 210, Lanham, MD 20706 | 2018-10-02 |
| 1558846394 | Brieana Moore | Behavioral Analyst | 4551 Parliament Place Suite A, Lanham, MD 20706 | 2018-09-27 |
| 1225511553 | Melvis Afanwi Chi | Home Health Aide | 9861 Goodluck Rd, T1, Lanham, MD 20706 | 2018-09-12 |
| 1346722766 | Elsie Clarke | Nurse Practitioner | 9470 Annapolis Road Suite 311, Lanham, MD 20706 | 2018-09-01 |
| 1821576141 | Amie Da Silva | Nurse Practitioner | 5724 Edge Avenue, Lanham, MD 20706 | 2018-07-30 |
| 1033697313 | Iyadunni Omolara Olukorede | Home Health Aide | 9789 Good Luck Rd Apt 9, Lanham, MD 20706 | 2018-07-30 |
| 1447741459 | A Step Ahead Preventive and Holistic Wellness Center LLC | Psychologist | 4500 Forbes Blvd # 200-w12, Lanham, MD 20706 | 2018-05-24 |
| 1902394398 | Ezekiel Kelechukwu Nwafor | Home Health Aide | 5447 85th Ave Apt 202, Lanham, MD 20706 | 2018-05-01 |
| Find all providers in zip 20706 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427688662 | Shaundra Parsley | Nurse Practitioner | 9470 Annapolis Rd Ste 107, Lanham, MD 20706-3088 | 2020-01-15 |
| 1780223628 | Linda Chidinma Ahaghotu | Nurse Practitioner | 4605 Margie Ct, Lanham, MD 20706-1985 | 2019-12-24 |
| 1164070280 | Edith E Onyenemezu | Nurse Practitioner | 6809 Woodstream Dr, Lanham, MD 20706-2125 | 2019-09-02 |
| 1639734080 | Ijeoma Uche Emeka | Nurse Practitioner | 6208 Erland Way, Lanham, MD 20706-2480 | 2019-05-01 |
| 1730675463 | Blessing Ngozi Anabaraonye | Nurse Practitioner | 6605 Manton Way, Lanham, MD 20706-2490 | 2018-07-05 |
| 1689925497 | Renata Bebongnchu Nkeze | Nurse Practitioner | 7400 Wilhelm Dr, Lanham, MD 20706-3725 | 2012-09-20 |
| 1487265864 | Atola Nnenna Idika | Nurse Practitioner | 9470 Annapolis Rd Ste 101, Lanham, MD 20706-4048 | 2020-08-11 |
| 1356951198 | Vastcare Medical Clinic | Nurse Practitioner | 9470 Annapolis Rd Ste 115, Lanham, MD 20706-3025 | 2020-08-06 |
| 1548879505 | Asdo Behavioral Health | Nurse Practitioner | 6208 Erland Way, Lanham, MD 20706-2480 | 2020-07-27 |
| 1538792007 | Rita Dexter | Nurse Practitioner | 7404 Executive Pl, Lanham, MD 20706-2268 | 2020-02-12 |
| Find all providers in LANHAM | ||||
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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.