KAMBIA MEDICAL SERVICES LLC (NPI# 1639503451) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639503451 |
| Entity Type | Organization |
| Organization Name | KAMBIA MEDICAL SERVICES LLC |
| Practice Address |
1647 Benning Rd Ne Ste 200 Washington DC 20002-4570 |
| Mailing Address |
1941 2nd Street Ne Washington DC 20002 |
| Practice Telephone | 2023968550 |
| Practice Fax Number | 2023884461 |
| Mailing Telephone | 2023414283 |
| Enumeration Date | 2013-08-28 |
| Last Update Date | 2013-08-30 |
| Authorized Official Name | MS. NUMU EMRAN KAMARA (FAMILY NURSE PRACTITIONER) |
| Authorized Official Telephone | 2023414283 |
| Authorized Official Credential | FNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
RN64229 | DC | Ambulatory Health Care Facilities |
| Street Address |
1647 BENNING RD NE STE 200 |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20002-4570 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841303880 | Edwin Charles Chapman Sr. | Internal Medicine | 1647 Benning Rd Ne Ste 200, Washington, DC 20002-4570 | 2006-08-16 |
| 1588188312 | Gwendolyn Jackson Redic | Nurse Practitioner | 1647 Benning Rd Ne Ste 200, Washington, DC 20002-4570 | 2017-08-02 |
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|---|---|---|---|---|
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| 1477174415 | Chuquita Alma Berry | Technician | 11 R Street Ne, Apt 204, Washington, DC 20002 | 2020-04-30 |
| 1891326104 | For Us Therapeutics Counseling & Consulting Services, LLC | Community/Behavioral Health | 1425 Hst, Ne, Washington, DC 20002 | 2020-01-27 |
| 1215574975 | Chanea Paige | Technician | 1753 A St Ne, Washington, DC 20002 | 2019-12-02 |
| 1861038952 | Yasmen Britt | Emergency Medical Technician, Paramedic | 1711 Benning Rd, Washington, DC 20002 | 2019-11-23 |
| 1871053165 | Alyse Marie Knuth | Dentist | Pentagon, Corridor 8, Washington, DC 20002 | 2019-03-22 |
| 1043776586 | Courtney Moore-mercado | Social Worker | 429 P Street Nw, Washington, DC 20002 | 2019-02-20 |
| 1578034096 | Triple Alliance Pharmacy, Inc | Pharmacy | 1819 West Virgnia Avenue Ne, Washington Dc, DC 20002 | 2018-12-10 |
| 1477023000 | Tekisha Cecelia Blake | Technician | 16 R Street Ne, Washington, DC 20002 | 2018-11-27 |
| 1801366497 | Tionna Paulette Harrison | Technician | 150 Q Street Ne 1427, Washington, DC 20002 | 2018-11-27 |
| Find all providers in zip 20002 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
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| 1235640707 | Universal Wellness Practitioners, Pllc | Clinic/Center | 830 Otis Pl Nw, Washington, DC 20010-1516 | 2017-10-23 |
| 1932653706 | Alphaedge, LLC. | Clinic/Center | 811 44th St Ne, Washington, DC 20019-3637 | 2016-08-10 |
| 1700296225 | Rafel Dwaine Rieves | Clinic/Center | 1907 New Hampshire Ave Nw, Nw, Washington, DC 20009-3309 | 2014-05-06 |
| 1972845485 | Sam Medical Center of America Pllc | Clinic/Center | 2141 K St Nw Ste 607, Washington, DC 20037-1810 | 2013-03-22 |
| 1912201617 | Liberte Acupuncture, P.C. | Clinic/Center | 1221 Connecticut Ave Nw Ste 5b, Washington, DC 20036-2607 | 2011-01-10 |
| 1689806556 | Aids Healthcare Foundation | Clinic/Center | 2141 K St Nw Ste 707, Washington, DC 20037-1810 | 2009-08-11 |
| 1780839928 | Simmons Chiropractic LLC | Clinic/Center | 1874 Highway A Ste 210, Washington, MO 63090-6448 | 2008-12-01 |
| 1073778122 | Washington Chiropractic, LLC | Clinic/Center | 5008 Connecticut Ave Nw, Washington, DC 20008-2063 | 2008-07-28 |
| 1952924698 | District Healthcare Services, LLC | Clinic/Center | 2811 Pennsylvania Ave Se, Washington, DC 20020-3865 | 2020-05-28 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20002 |
Please comment or provide details below to improve the information on KAMBIA MEDICAL SERVICES LLC.
| 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.