JENNIFER BAMBACH (NPI# 1629502786) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629502786 |
| Entity Type | Individual |
| Full Name | JENNIFER BAMBACH |
| Credential | NP |
| Practice Address |
8967 Yellow Brick Rd Rosedale MD 21237-2303 |
| Practice Telephone | 4107805203 |
| Mailing Telephone | 4107805203 |
| Enumeration Date | 2017-04-16 |
| Last Update Date | 2018-01-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
R183111 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
8967 YELLOW BRICK RD |
| City | ROSEDALE |
| State | MD |
| Zip Code | 21237-2303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568571735 | Dori Lee Makowske | Counselor | 8967 Yellow Brick Rd, Rosedale, MD 21237-2303 | 2006-08-30 |
| 1821559410 | Dorian M Clark | Social Worker | 8967 Yellow Brick Rd, Rosedale, MD 21237-2303 | 2019-03-27 |
| 1982165460 | Deborah Maria Passos | Counselor | 8967 Yellow Brick Rd, Rosedale, MD 21237-2303 | 2019-03-27 |
| 1255897526 | Rachael Workman | Social Worker | 8967 Yellow Brick Rd, Rosedale, MD 21237-2303 | 2019-02-12 |
| 1467903120 | David Delamatre | Social Worker | 8967 Yellow Brick Rd, Rosedale, MD 21237-2303 | 2016-10-18 |
| 1700335635 | Kristina Huber | Counselor | 8967 Yellow Brick Rd, Rosedale, MD 21237-2303 | 2016-10-04 |
| 1972052850 | Bathsheba Gray | Counselor | 8967 Yellow Brick Rd, Rosedale, MD 21237-2303 | 2016-10-03 |
| 1780133819 | Anna Youells-hwang | Social Worker | 8967 Yellow Brick Rd, Suites A & B, Rosedale, MD 21237-2303 | 2016-09-30 |
| 1588113864 | Katherine Todd | Social Worker | 8967 Yellow Brick Rd, Rosedale, MD 21237-2303 | 2016-09-27 |
| 1265980171 | Christen Elizabeth Dressel | Counselor | 8967 Yellow Brick Rd, Rosedale, MD 21237-2303 | 2016-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225666977 | Sheena Alisha Abraham | Nurse Anesthetist, Certified Registered | Medstar Franklin Square Medical Center, 9000 Franklin Square Drive, Baltimore, MD 21237 | 2020-03-30 |
| 1295221281 | Anyelin Almanzar | Student in an Organized Health Care Education/Training Program | 900 Franklin Square Dr, Dept. of General Surgery, Baltimore, MD 21237 | 2018-07-03 |
| 1952894818 | Peace Healthcare | Home Health | 8683 Old Philadelphia Road, Rosedale, MD 21237 | 2018-06-14 |
| 1134621816 | Maryland Sportscare & Rehab LLC | Physical Therapist | 8665 Pulaski Hwy Ste 115, Rosedale, MD 21237 | 2018-03-08 |
| 1619480308 | Valorie Elaine Colby | Registered Nurse | Eastern Family Resource Center, 9150 Franklin Square Drive, Rosedale, MD 21237 | 2017-11-16 |
| 1891205910 | Gidez Nursing Services LLC | Registered Nurse | 8902 Lennings Lane, Baltimore, MD 21237 | 2017-10-03 |
| 1801258736 | Riverside Treatment Services LLC | Clinic/Center | 8359 Pulaski Highway, Rosedale, MD 21237 | 2016-03-21 |
| 1457734691 | Ati Holdings, LLC | Occupational Therapist | 8652 Pulasky Hwy Ste C-1, Rosedale, MD 21237 | 2015-07-07 |
| 1063802940 | Melissa Pollard | Pharmacy Technician | 1521 Seling Ave, Baltimore, MD 21237 | 2015-01-29 |
| 1053733378 | Thrive Behavioral Health, LLC | Community/Behavioral Health | 9627 Philadelphia Rd Ste 160, Rosedale, MD 21237 | 2014-01-07 |
| Find all providers in zip 21237 | ||||
| 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 |
|---|---|---|---|---|
| 1477181857 | Iwalola Stella Omojola | Nurse Practitioner | 111 Buttonwood Ct, Rosedale, MD 21237-3873 | 2020-03-31 |
| 1811530504 | James L Rossi | Nurse Practitioner | 2209 Bluegrass Heights Ct, Rosedale, MD 21237-1465 | 2019-10-24 |
| 1972118289 | Harmony Integrated Cares | Nurse Practitioner | 8757 Jarwood Rd, Rosedale, MD 21237-3867 | 2020-09-14 |
| 1013558683 | Hotenesia Njoroge | Nurse Practitioner | 8 Hallsdale Ct, Rosedale, MD 21237-5009 | 2019-10-03 |
| 1295289890 | Whitney L Fox | Nurse Practitioner | 6918 Ridge Rd, Rosedale, MD 21237-3854 | 2016-08-11 |
| 1114081924 | Ronald D Distler | Nurse Practitioner | 6918 Ridge Rd, Rosedale, MD 21237-3854 | 2006-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821697533 | Brighter Days Recovery Center | Nurse Practitioner | 2439 E Lafayette Ave, Baltimore, MD 21213-2562 | 2020-10-23 |
| 1033718762 | White Plains Primary Care | Nurse Practitioner | 50 Post Office Rd Ste 304, Waldorf, MD 20602-3704 | 2020-10-23 |
| 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 |
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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.