NELL JULIET BODANI (NPI# 1699089599) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699089599 |
| Entity Type | Individual |
| Full Name | NELL JULIET BODANI |
| Credential | PA-C |
| Practice Address |
2522 Ruthsburg Rd Centreville MD 21617-1952 |
| Practice Telephone | 4104909240 |
| Enumeration Date | 2010-08-03 |
| Last Update Date | 2013-01-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2522 RUTHSBURG RD |
| City | CENTREVILLE |
| State | MD |
| Zip Code | 21617-1952 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518322445 | Marianna Edmonston | Occupational Therapy Assistant | 205 Armstrong St., Genesis Rehabilitation Services Corsica Hills, Centreville, MD 21617 | 2015-12-18 |
| 1881089084 | Michelle Katherine Priddy | Specialist/Technologist | 125 Ruthsburg Rd., Centreville, MD 21617 | 2015-04-03 |
| 1801220579 | Kimberly Patrice Wilson | Counselor | 205 North Liberty St, Centreville, MD 21617 | 2013-08-29 |
| 1588940787 | Angela Renee Sommer | Speech-Language Pathologist | 205 Armstrong Street, Genesis Rehabilitation Services Corsica Hills, Centreville, MD 21617 | 2011-11-01 |
| 1497067144 | Alison Lynn Mccuen | Speech-Language Pathologist | 175 Ashland Drive, Centreville, MD 21617 | 2010-07-10 |
| 1427269406 | Hospice of Queen Anne's Inc. | Hospice Care, Community Based | 255 Comet Drive, Centreville, MD 21617 | 2007-05-24 |
| 1093921470 | Lillian Sheehan | Social Worker | 152 Courseval Drive, Ste 142, Centreville, MD 21617 | 2007-05-15 |
| 1184723942 | Centreville Drugs Inc | Durable Medical Equipment & Medical Supplies | 102 Commerce Street, Centreville, MD 21617 | 2006-09-21 |
| 1114022670 | James J Lucas | Dentist | 134 Coursevall Drive, Centerville, MD 21617 | 2006-09-13 |
| 1730129370 | Joseph C Titus | Social Worker | 120 Banjo Lane, Centreville, MD 21617 | 2006-06-08 |
| Find all providers in zip 21617 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750992251 | Olivia Rae Wojtowicz | Physician Assistant | 102 Farm Hill Rd, Centreville, MD 21617-2108 | 2020-08-10 |
| 1700343951 | Kayla Marie Huber | Physician Assistant | 14001a Saint Germain Dr, Centreville, VA 20121-2338 | 2019-02-25 |
| 1164932141 | Kaylee Laura Perkins | Physician Assistant | 405 Belcher St, Centreville, AL 35042-2946 | 2017-10-04 |
| 1962940544 | Kathleen Rouprich Huff | Physician Assistant | 178 Highway 24 E, Centreville, MS 39631-4171 | 2017-02-03 |
| 1003367541 | Mariah Leigh Butler | Physician Assistant | 405 Belcher St, Centreville, AL 35042-2946 | 2016-10-19 |
| 1205385655 | Chasity Clark | Physician Assistant | 405 Belcher St, Centreville, AL 35042-2946 | 2016-09-27 |
| 1124479829 | Gemini Emergency Physicians, LLC | Physician Assistant | 270 E Main St, Centreville, MS 39631-4200 | 2016-06-24 |
| 1306201736 | Asma Jamil | Physician Assistant | 13890 Braddock Rd, #100, Centreville, VA 20121-2435 | 2015-12-30 |
| 1972980720 | Kenneth A Griffith II | Physician Assistant | 677 E Main St, Centreville, MI 49032-8524 | 2015-04-30 |
| 1659654507 | Demetria L. Borges | Physician Assistant | 6201 Centreville Rd, Suite 100, Centreville, VA 20121 | 2011-09-27 |
| Find all providers in CENTREVILLE | ||||
| City | CENTREVILLE |
| Zip Code | 21617 |
Please comment or provide details below to improve the information on NELL JULIET BODANI.
| 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.