MRS. ANDREA MICHAELENA LOPEZ (NPI# 1619301363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619301363 |
| Entity Type | Individual |
| Full Name | MRS. ANDREA MICHAELENA LOPEZ |
| Credential | RN, CRNP |
| Practice Address |
153 E High St Elkton MD 21921-5650 |
| Mailing Address |
Po Box 76 Childs MD 21916-0076 |
| Practice Telephone | 4106563017 |
| Practice Fax Number | 4105714958 |
| Mailing Telephone | 4106563017 |
| Mailing Fax Number | 4106563017 |
| Enumeration Date | 2013-08-29 |
| Last Update Date | 2019-01-24 |
| 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 |
R183798 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
SP013140 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 2142996 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 49 Rock Springs Rd, Conowingo, MD 219181352 | 4103789696 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255953329 | Andrea Amy Lopez | Dietitian, Registered | Ut Southwestern Medical Center Frisco, 12500 Dallas Pkwy, 2nd Floor, Frisco, TX 75033-9371 | 2020-05-12 |
| 1487113130 | Andrea Lopez | Speech-Language Pathologist | 915 N 400 W, Layton, UT 84041-2383 | 2019-03-12 |
| 1295143931 | Andrea Lopez | Physical Therapist | 817 Hickory St, Santa Ana, CA 92701-6041 | 2014-07-25 |
| 1124346770 | Andrea Lopez | Case Management | 1100 Van Ness Ave # 804, Fresno, CA 93721-2016 | 2010-05-06 |
| 1720163348 | Andrea Lynn Lopez | Specialist/Technologist | 900 N. University Ave, Room B63, West Lafayette, IN 47907 | 2006-10-25 |
| 1245831510 | Andrea Lopez | Behavior Technician | 5102 Museum Dr, Oak Lawn, IL 60453-7005 | 2020-11-03 |
| 1740890995 | Andrea Natali Lopez | Technician | 290 Ioof Ave, Gilroy, CA 95020-5204 | 2020-08-03 |
| 1477171981 | Andrea Lopez | Behavioral Analyst | 21000 S Frankfort Square Rd, Frankfort, IL 60423-9385 | 2020-07-10 |
| 1215564364 | Andrea Lea Lopez | Pharmacist | 200 Avenue F, Del Rio, TX 78840-4658 | 2020-03-26 |
| 1659904860 | Andrea Lopez | Behavior Technician | 4030 Moorpark Ave Ste 105, San Jose, CA 95117-1848 | 2020-02-16 |
| Street Address |
153 E HIGH ST |
| City | ELKTON |
| State | MD |
| Zip Code | 21921-5650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962034918 | Breathe360 LLC | Internal Medicine | 211 West High Street, Suite 211, Elkton, MD 21921 | 2020-02-07 |
| 1093351678 | Cecil Community Recovery Center LLC | Clinic/Center | 409/411 W Pulaski Hwy, Elkton, MD 21921 | 2019-11-19 |
| 1134687841 | Mary May | Occupational Therapy Assistant | 5328 100 Laurel Dr, Elkton, MD 21921 | 2019-03-12 |
| 1922571959 | Christina Marie Diamonte-mock | Social Worker | 306 W. Pulaski Highway, Elkton, MD 21921 | 2019-01-02 |
| 1548730120 | Stephanie Seelinger | Speech-Language Pathologist | 201 Booth Street, Elkton, MD 21921 | 2018-11-27 |
| 1780103069 | Mary Gamble | Social Worker | 1190 Augustine Herman Hwy, Elkton, MD 21921 | 2017-09-18 |
| 1356884605 | Kenneth Wayne Favors | Counselor | 8 Brompton Court, Elkton, MD 21921 | 2016-11-18 |
| 1356716864 | Northside Pharmacy Long Term Care Inc | Pharmacy | 707 North Bridge Street, Suite C, Elkton, MD 21921 | 2015-12-09 |
| 1033552765 | Megan L. Mullins | Counselor | 505 Blue Ball Rd Bldg 140b, Elkton, MD 21921 | 2013-04-11 |
| 1669730537 | Elkton Foot and Ankle Center, Pa | Podiatrist | 205 E Main St Ste 111, Elkton, MD 21921 | 2012-04-30 |
| Find all providers in zip 21921 | ||||
| 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 |
|---|---|---|---|---|
| 1417569062 | Aaron Patrick Owens Sr. | Nurse Practitioner | 49 Open Meadow Ct, Elkton, MD 21921-7656 | 2020-08-17 |
| 1275161408 | Dominic M Omwenga | Nurse Practitioner | 106 Bow St, Elkton, MD 21921-5544 | 2020-04-01 |
| 1407333164 | Mark Robert Debussy | Nurse Practitioner | 111 W High St Ste 204, Elkton, MD 21921 | 2018-07-25 |
| 1538416573 | Toccara Monique Mosley | Nurse Practitioner | 200 Booth St, Elkton, MD 21921-5657 | 2012-08-09 |
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|---|---|---|---|---|
| 1821697533 | Brighter Days Recovery Center | Nurse Practitioner | 2439 E Lafayette Ave, Baltimore, MD 21213-2562 | 2020-10-23 |
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| 1245839653 | Itoro Abatai | Nurse Practitioner | 9620 Maxwell Rd, Middle River, MD 21220-3792 | 2020-10-19 |
| 1992304372 | Catherine Koskei | Nurse Practitioner | 2295 Lowell Ridge Rd Apt B, Parkville, MD 21234-2370 | 2020-10-18 |
| 1194323857 | Meliora Davies | Nurse Practitioner | 206 Settlers Way, Upper Marlboro, MD 20774-5770 | 2020-10-14 |
| 1932707171 | David Mwangi | Nurse Practitioner | 27 Blue Spire Cir, Middle River, MD 21220-1743 | 2020-10-10 |
| 1750989042 | Osereme Nora Agboifo | Nurse Practitioner | 200 Ejoppa Rd Suite 106, Townson, MD 21286 | 2020-10-09 |
| 1639776446 | Serenity Heart Healthcare, LLC | Nurse Practitioner | 6755 Business Pkwy Ste 304, Elkridge, MD 21075-6740 | 2020-10-05 |
| 1689281529 | Premier Psychiatry, LLC | Nurse Practitioner | 10601 Virginia Ave, Cockeysville, MD 21030-2315 | 2020-09-24 |
| 1407462559 | Mem Scepter Home & Behavioral | Nurse Practitioner | 14104 Dawn Whistle Way, Bowie, MD 20721-1304 | 2020-09-23 |
| Find all providers with the same taxonomy | ||||
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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.