RFOM NURSE PRACTITIONER CLINIC, LLC (NPI# 1669723961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669723961 |
| Entity Type | Organization |
| Organization Name | RFOM NURSE PRACTITIONER CLINIC, LLC |
| Other Organization Name | AFFORDABLE HEALTHCARE NURSE PRACTITIONER CLINIC |
| Practice Address |
8238 Georgia Ave Silver Spring MD 20910-4516 |
| Mailing Address |
9656 Brassie Way Montgomery Village MD 20886-1910 |
| Practice Telephone | 2404473204 |
| Practice Fax Number | 3015873204 |
| Mailing Telephone | 2404473204 |
| Mailing Fax Number | 3015873204 |
| Enumeration Date | 2012-09-26 |
| Last Update Date | 2012-09-26 |
| Authorized Official Name | STELLA K JEFFERIES (CEO) |
| Authorized Official Telephone | 2404473204 |
| Authorized Official Credential | CRNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
R161889 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 050213800 | 05 |
| Other Name | Type Code |
|---|---|
| Affordable Healthcare Nurse Practitioner Clinic | Doing Business As Name - Organization |
| Street Address |
8238 GEORGIA AVE |
| City | SILVER SPRING |
| State | MD |
| Zip Code | 20910-4516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417501966 | Marie J Celeste | Developmental Therapist | 623 Ray Dr, Silver Spring, MD 20910 | 2019-08-01 |
| 1205398054 | Maria Andrea Binger | Speech-Language Pathologist | Rosemary Hills Elementary School, 2111 Porter Road, Silver Spring, MD 20910 | 2019-04-02 |
| 1053882803 | Margaret A Avallone | Speech-Language Pathologist | 1515 Sharon Drive, Silver Spring, MD 20910 | 2018-12-05 |
| 1518434117 | Center for Pain Management LLC | Non-Pharmacy Dispensing Site | 8455 Colesville Road, Suite 200, Silver Spring, MD 20910 | 2018-11-01 |
| 1669951927 | Camille Smith Espinoza | Social Worker | 8601 Georgia Ave Ste 712, Silver Spring, MD 20910 | 2018-08-08 |
| 1053838615 | Grace Elaine Lozano | Behavior Technician | 8609 2nd Ave Suite 506b, Suite 506b, Silver Spring, MD 20910 | 2017-08-24 |
| 1417471160 | Sooin Lee | Dentist | 923 Bonifant St Unit 1, Silver Spring, MD 20910 | 2017-08-02 |
| 1366963993 | Rct Endodontics, LLC | Dentist | 804 Pershing Dr. #102, Silver Spring, MD 20910 | 2017-07-05 |
| 1720530363 | Aurore Ondongo | Nurse's Aide | 8600 16th Street, Apt 909, Silver Spring, MD 20910 | 2016-10-31 |
| 1700239993 | Kelli Teresa Harkless | Advanced Practice Midwife | 1400 Forest Glen Rd Ste 525, Silver Spring, MD 20910 | 2016-07-22 |
| Find all providers in zip 20910 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144705104 | Jolly Joseph | Nurse Practitioner | 12705 Summerwood Dr, Silver Spring, MD 20904-1758 | 2018-09-26 |
| 1376042382 | Joseph Arnell De Dios Rogelio | Nurse Practitioner | 8010 Blair Mill Way Apt 509e, Silver Spring, MD 20910-6849 | 2018-02-05 |
| 1154850253 | Rosemarie Mccahill Kormanec | Nurse Practitioner | 10313 Georgia Ave Ste 307, Silver Spring, MD 20902-5006 | 2017-06-12 |
| 1437436755 | Adebisi Oduntan Ayodele | Nurse Practitioner | 13020 Gershwin Way, Silver Spring, MD 20904-6811 | 2011-11-15 |
| 1285877043 | Ann-christin Boley | Nurse Practitioner | 1325 East West Hwy., Ssmc#2, #9300, Silver Spring, MD 20910-3280 | 2009-04-09 |
| 1538205430 | Cheryl D Fletcher | Nurse Practitioner | 701 Twin Holly Ln, Silver Spring, MD 20910-4665 | 2007-01-29 |
| 1457455776 | Laurence Lee Trail | Nurse Practitioner | 1126 Hornell Dr, Silver Spring, MD 20905-3770 | 2006-09-08 |
| 1538125919 | Karen M Sova | Nurse Practitioner | 803 Venice Dr, Silver Spring, MD 20904-2062 | 2006-04-25 |
| 1851361182 | Lucia Maria Novak | Nurse Practitioner | 2101 Medical Park Dr Ste 211, Silver Spring, MD 20902-4053 | 2006-01-26 |
| 1033105762 | Nancy A White | Nurse Practitioner | 1325 E West Hwy, Room 9300, Silver Spring, MD 20910-3280 | 2005-09-27 |
| Find all providers in SILVER SPRING | ||||
| City | SILVER SPRING |
| Zip Code | 20910 |
Please comment or provide details below to improve the information on RFOM NURSE PRACTITIONER CLINIC, 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.