MS. KEANDRA JONES (NPI# 1639589146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639589146 |
| Entity Type | Individual |
| Full Name | MS. KEANDRA JONES |
| Credential | CPNP-PC, CRNP |
| Practice Address |
10085 Red Run Blvd #201 Owings Mills MD 21117 |
| Practice Telephone | 4103631843 |
| Practice Fax Number | 4103633027 |
| Mailing Telephone | 4103631843 |
| Mailing Fax Number | 4103633027 |
| Enumeration Date | 2014-05-06 |
| Last Update Date | 2018-04-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
R197298 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
R197298 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
10085 RED RUN BLVD #201 |
| City | OWINGS MILLS |
| State | MD |
| Zip Code | 21117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972503829 | Tanya R Sellers-hannibal | Podiatrist | 10085 Red Run Blvd, Suite 305, Owings Mills, MD 21117-4836 | 2005-07-21 |
| 1114492436 | Samantha Krench | Nurse Practitioner | 10085 Red Run Blvd, Owings Mills, MD 21117-4836 | 2018-10-13 |
| 1821531872 | Rosen-hoffberg Rehabilitation & Pain Management | Social Worker | 10085 Red Run Blvd, Suite 404, Owings Mills, MD 21117-4836 | 2016-11-23 |
| 1710429188 | Daniel J. Levy, Md, Pa | Community/Behavioral Health | 10085 Red Run Blvd, Suite 201, Owings Mills, MD 21117-4836 | 2016-11-16 |
| 1659752426 | Rosen-hoffberg Rehabilitation and Pain Management Associates, P.a | Social Worker | 10085 Red Run Blvd, Suite 404, Owings Mills, MD 21117-4836 | 2015-06-17 |
| 1518365535 | Centers for Advanced Orthopaedics LLC | Chiropractor | 10085 Red Run Blvd, #404, Owings Mills, MD 21117 | 2014-12-08 |
| 1932526357 | Eric J Kraut Md LLC | Surgery | 10085 Red Run Blvd, Suite 306, Owings Mills, MD 21117-4836 | 2014-03-24 |
| 1538585773 | Maryland Pharmacy and Home Infusion, Inc | Pharmacy | 10085 Red Run Blvd, Suite 104 B, Owings Mills, MD 21117-4836 | 2014-03-12 |
| 1356697155 | Family First Counseling and Consultation, LLC | Social Worker | 10085 Red Run Blvd, Suite 201, Owings Mills, MD 21117-4836 | 2012-07-30 |
| 1093096232 | Rosen-hoffberg Rehabilitation and Pain Management Associates, Pa | Physical Medicine & Rehabilitation | 10085 Red Run Blvd, Suite 404, Owings Mills, MD 21117-4836 | 2011-09-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699303727 | Modern Medicine Express Care | Clinic/Center | 1041 Campbell Meadow Rd, Owings Mills, MD 21117 | 2020-04-01 |
| 1679111892 | Abria Therapy, LLC | Behavioral Analyst | 10451 Mill Run Circle, Suite 400, Owings Mills, MD 21117 | 2019-12-18 |
| 1194384917 | Michele Dawson Overtoom | Pharmacist | Wegmans Pharmacy #125, 10100 Reisterstown Road, Owings Mills, MD 21117 | 2019-06-06 |
| 1033675897 | Grace Residential Services, LLC | Clinic/Center | 4117 Brookside Oaks Road, Owings Mills, MD 21117 | 2019-02-18 |
| 1801373246 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 10270 Mill Run Circle, Owings Mills, MD 21117 | 2018-07-27 |
| 1922513167 | Vamsh Health Services, LLC | Pharmacy | 10309 Grand Central Ave Ste 110, Owings Mills, MD 21117 | 2017-12-11 |
| 1215456652 | Safari Healthcare | Home Health | 4129 Brookside Oak Road, Owings Mills, MD 21117 | 2017-09-18 |
| 1639697964 | Rachel Tova Goldberg | Behavioral Analyst | 11907 Hunting Tweed Dr., Owings Mills, MD 21117 | 2017-09-07 |
| 1528599149 | Nest Home Care, LLC | In Home Supportive Care | 90 Painters Mill Rd Ste 223, Owings Mills, MD 21117 | 2017-03-24 |
| 1508221243 | Quality Home Care, LLC | In Home Supportive Care | 124 Embleton Road, Owings Mills, MD 21117 | 2015-12-23 |
| Find all providers in zip 21117 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255772422 | Sarah Leipnik | Nurse Practitioner | 5 Park Center Ct Ste 300, Owings Mills, MD 21117-4203 | 2013-07-16 |
| 1114492436 | Samantha Krench | Nurse Practitioner | 10085 Red Run Blvd, Owings Mills, MD 21117-4836 | 2018-10-13 |
| 1770575300 | Jennifer M Ferrara | Nurse Practitioner | 10085 Red Run Blvd, Suite307-309, Owings Mills, MD 21117-4836 | 2005-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902405574 | Kylie White | Nurse Practitioner | 29595 Millstream Dr, Salisbury, MD 21804-2006 | 2020-10-23 |
| 1437764214 | Kelly Weaver | Nurse Practitioner | 11315 Pembroke Square, 110, Waldorf, MD 20603 | 2020-09-09 |
| 1003420282 | Mary Claire Perry | Nurse Practitioner | 737 W Lombard St Ste 314, Baltimore, MD 21201-1009 | 2020-09-03 |
| 1063022853 | Lauren Ranieri | Nurse Practitioner | 5301 Westbard Cir Ste 3, Bethesda, MD 20816-1463 | 2020-08-06 |
| 1841847209 | Brittany Nichole Frankel | Nurse Practitioner | 5870 Old Washington Rd, Sykesville, MD 21784-8622 | 2019-08-21 |
| 1912553595 | Kelsey Lynn Peifer | Nurse Practitioner | 6131 Baldridge Ter, Frederick, MD 21701-5858 | 2019-08-10 |
| 1841845351 | Advanced Practice Wellness, LLC | Nurse Practitioner | Washingtonian Blvd Ste 550, Gaithersburg, MD 20878 | 2019-08-02 |
| 1851946305 | Monica Patel | Nurse Practitioner | 3450 Old Washington Rd Ste 100, Waldorf, MD 20602-3249 | 2019-08-01 |
| 1922651082 | Deborah A Weber | Nurse Practitioner | 480 Lake Dr, Lusby, MD 20657-3260 | 2019-07-18 |
| 1700438140 | Emily Megan Burke | Nurse Practitioner | 200 Forbes St Annapolis, Md 21401, Suite 200, Annapolis, MD 21401 | 2019-07-16 |
| Find all providers with the same taxonomy | ||||
| City | OWINGS MILLS |
| Zip Code | 21117 |
Please comment or provide details below to improve the information on MS. KEANDRA JONES.
| 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.