MS. AYANNA D GOUCH (NPI# 1639675556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639675556 |
Entity Type | Individual |
Full Name | MS. AYANNA D GOUCH |
Practice Address |
4151 Bladensburg Rd Brentwood MD 20722 |
Mailing Address |
4151 Bladensburg Rd Colmar Manor MD 20722-1928 |
Practice Telephone | 3016997700 |
Mailing Telephone | 3016997700 |
Enumeration Date | 2018-03-30 |
Last Update Date | 2018-07-24 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Street Address |
4151 BLADENSBURG RD |
City | BRENTWOOD |
State | MD |
Zip Code | 20722 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689099053 | U.S. Medical Products, LLC | Durable Medical Equipment & Medical Supplies | 4010 Bladensburg Rd, Brentwood, MD 20722 | 2014-02-21 |
1437696796 | Melba Calderon | Social Worker | 4411 34th St, Brentwood, MD 20722-1001 | 2017-01-25 |
1790228740 | Brianna Charlton | Home Health Aide | 3511 Windom Rd, Apt 4, Brentwood, MD 20722-1046 | 2016-11-23 |
1861093056 | Melvin Santamaria | Nurse's Aide | 3804 Allison St, Brentwood, MD 20722-1111 | 2020-11-04 |
1497017438 | Maria Aqueta Lovo | Home Health Aide | 3911 Webster St, Brentwood, MD 20722-1118 | 2012-06-14 |
1568957934 | Ogochukwu O Uche | Home Health Aide | 4522 41st Ave, North Brentwood, MD 20722-1213 | 2018-06-27 |
1225161821 | Dimensions Health Corporation | Clinic/Center | 3601 Taylor St, Brentwood, MD 20722-1300 | 2007-03-13 |
1710543178 | Community Crisis Services, Inc | Public Health or Welfare | 3601 Taylor St, Brentwood, MD 20722-1300 | 2019-05-11 |
1962892851 | Family Crisis Center of Prince Georges' County, Inc. | Social Worker | 3601 Taylor St, Brentwood, MD 20722-1300 | 2015-01-29 |
1104151935 | Success Is Yours Inc. | Clinic/Center | 3601 Taylor St, Brentwood, MD 20722-1300 | 2009-10-13 |
Find all providers in zip 20722 |
Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104440890 | Blair Solomon | Student in an Organized Health Care Education/Training Program | 9212 Prestmoor Pl, Brentwood, TN 37027-7491 | 2020-05-29 |
1386264620 | Phlyn Minnis | Student in an Organized Health Care Education/Training Program | 141 Plum Nelly Cir Apt 201, Brentwood, TN 37027-4626 | 2020-04-16 |
1134769920 | Roland Johnathan Ramkissoon | Student in an Organized Health Care Education/Training Program | 39 Orient Ave, Brentwood, NY 11717-1626 | 2020-01-09 |
1154806008 | Brooke Bell | Student in an Organized Health Care Education/Training Program | 1780 Anastasia Drive, Brentwood, CA 94513 | 2018-09-26 |
1164919767 | Billal Jamili | Student in an Organized Health Care Education/Training Program | 1389 Compaglia Cir, Brentwood, CA 94513-2995 | 2018-04-18 |
1861997140 | Mohammed Hassan | Student in an Organized Health Care Education/Training Program | 49 Nostrand Ave, Brentwood, NY 11717-1171 | 2018-03-28 |
1790211217 | Yasmin Lopez | Student in an Organized Health Care Education/Training Program | 77 Walter St, Brentwood, NY 11717-1110 | 2017-05-03 |
1467908681 | Abid Niazi | Student in an Organized Health Care Education/Training Program | 2108 Cristina Way, Brentwood, CA 94513 | 2016-08-28 |
1003108010 | Ryan Fauvre Holmes | Student in an Organized Health Care Education/Training Program | 1443 Oriole Pl, Brentwood, MO 63144-1126 | 2011-05-09 |
1265760565 | Morad Awadallah | Student in an Organized Health Care Education/Training Program | 2 Prospect Ave, Brentwood, NY 11717-2405 | 2009-11-24 |
Find all providers in BRENTWOOD |
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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.