MRS. ASHLEY MORAN KINNALLY (NPI# 1598264533) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1598264533 |
Entity Type | Individual |
Full Name | MRS. ASHLEY MORAN KINNALLY |
Other Name | MS. ASHLEY NICOLE MORAN |
Credential | CRNP |
Practice Address |
160 Coursevall Dr Centreville MD 21617-1824 |
Mailing Address |
1658 Albermarle Dr Crofton MD 21114-2001 |
Practice Telephone | 4432624100 |
Mailing Telephone | 4433361474 |
Enumeration Date | 2018-02-05 |
Last Update Date | 2018-02-05 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163W00000X | Registered Nurse | R191903 | MD | Nursing Service Providers |
Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
R191903 | MD | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
160 COURSEVALL DR |
City | CENTREVILLE |
State | MD |
Zip Code | 21617-1824 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851865653 | Michelle Matthews | Social Worker | 160 Coursevall Dr, Centreville, MD 21617-1824 | 2019-01-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518322445 | Marianna Edmonston | Occupational Therapy Assistant | 205 Armstrong St., Genesis Rehabilitation Services Corsica Hills, Centreville, MD 21617 | 2015-12-18 |
1881089084 | Michelle Katherine Priddy | Specialist/Technologist | 125 Ruthsburg Rd., Centreville, MD 21617 | 2015-04-03 |
1801220579 | Kimberly Patrice Wilson | Counselor | 205 North Liberty St, Centreville, MD 21617 | 2013-08-29 |
1588940787 | Angela Renee Sommer | Speech-Language Pathologist | 205 Armstrong Street, Genesis Rehabilitation Services Corsica Hills, Centreville, MD 21617 | 2011-11-01 |
1497067144 | Alison Lynn Mccuen | Speech-Language Pathologist | 175 Ashland Drive, Centreville, MD 21617 | 2010-07-10 |
1427269406 | Hospice of Queen Anne's Inc. | Hospice Care, Community Based | 255 Comet Drive, Centreville, MD 21617 | 2007-05-24 |
1093921470 | Lillian Sheehan | Social Worker | 152 Courseval Drive, Ste 142, Centreville, MD 21617 | 2007-05-15 |
1184723942 | Centreville Drugs Inc | Durable Medical Equipment & Medical Supplies | 102 Commerce Street, Centreville, MD 21617 | 2006-09-21 |
1114022670 | James J Lucas | Dentist | 134 Coursevall Drive, Centerville, MD 21617 | 2006-09-13 |
1730129370 | Joseph C Titus | Social Worker | 120 Banjo Lane, Centreville, MD 21617 | 2006-06-08 |
Find all providers in zip 21617 |
Taxonomy Code | 363LG0600X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Gerontology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659565786 | Lindsey Giddiens | Nurse Practitioner | 195 Hospital Dr, Centreville, AL 35042-2935 | 2007-08-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801401328 | Fese E Bokosah | Nurse Practitioner | 2671 Ricker Pond Ct, Waldorf, MD 20603-2060 | 2020-09-11 |
1558975508 | Marlene Joan Margerum | Nurse Practitioner | 6052 Augustine Ave, Elkridge, MD 21075-5351 | 2020-09-06 |
1386258929 | Suzette Jones | Nurse Practitioner | Chesapeake Shores Nursing Home, 21412 Great Mills Road, Lexington Park, MD 20653 | 2020-09-01 |
1760091003 | Rachel Langley | Nurse Practitioner | 9 Cedar Chip Ct, Parkville, MD 21234-8035 | 2020-07-22 |
1679113054 | Clifton Dawson IIi | Nurse Practitioner | 10230 New Hampshire Ave # 340, Silver Spring, MD 20903-1400 | 2020-01-13 |
1750920179 | Jecinta Chinyere Ogbennah | Nurse Practitioner | 6629 Aaron Mee Way, Baltimore, MD 21237-4337 | 2020-01-02 |
1578114229 | Carolina Delacruz | Nurse Practitioner | 5601 Loch Raven Blvd Bldg Center, Baltimore, MD 21239-2945 | 2019-09-24 |
1366096034 | Tammy Fusilier | Nurse Practitioner | 3460 Old Washington Rd Ste 203a, Waldorf, MD 20602-3243 | 2019-07-30 |
1649839218 | Lauren Anne Flowers | Nurse Practitioner | 202 Leslie Ave, Nottingham, MD 21236-4217 | 2019-06-07 |
1255893061 | Irene W. Njuguna | Nurse Practitioner | 4307 Silver Spring Rd, Perry Hall, MD 21128-9656 | 2019-04-01 |
Find all providers with the same taxonomy |
City | CENTREVILLE |
Zip Code | 21617 |
Please comment or provide details below to improve the information on MRS. ASHLEY MORAN KINNALLY.
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.