JACQUELINE IVERSON (NPI# 1699202259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699202259 |
| Entity Type | Individual |
| Full Name | JACQUELINE IVERSON |
| Practice Address |
4400 Stamp Rd Ste 104 Temple Hills MD 20748-6727 |
| Practice Telephone | (202) 569-2990 |
| Mailing Telephone | 2025692990 |
| Enumeration Date | 2017-05-15 |
| Last Update Date | 2017-05-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305S00000X | Point of Service | Managed Care Organizations |
| Street Address |
4400 STAMP RD STE 104 |
| City | TEMPLE HILLS |
| State | MD |
| Zip Code | 20748-6727 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316579873 | Brightway Professionals and Associates | Clinic/Center | 4810 St.barnabas Rd, Suite 201, Temple Hills, MD 20748 | 2020-02-12 |
| 1235783085 | Jasmine Lenee Carter | Behavior Technician | 5506 Clothier St., Temple Hills, MD 20748 | 2019-07-30 |
| 1649760075 | Livewell Family Clinic LLC | Clinic/Center | 3611 Branch Ave Ste 404, Temple Hills, MD 20748 | 2018-05-10 |
| 1346785474 | Cardinal Health Care Solution LLC | Home Health | 4905 Faith Crossin Ct, Templehills, MD 20748 | 2016-12-28 |
| 1205370095 | Crystal Hughes | Specialist | 6337 Old Branch Ave Shop 37, Camp Springs, MD 20748 | 2016-12-13 |
| 1417385444 | Ibhs LLC | Substance Abuse Rehabilitation Facility | 5000 Barnabas Road, Ct2, Temple Hills, MD 20748 | 2013-10-30 |
| 1063848703 | Oluwagbenga Jegede | Home Health Aide | 6516 Allentown Rd, Temple Hills, MD 20748 | 2013-09-25 |
| 1184067514 | Vijaya Lakshmi Alla | Family Medicine | 6014 Old Branch Avenue, Temple Hills, MD 20748 | 2013-04-16 |
| 1215178959 | Patricia Ann Carter | Counselor | 5121 Henderson Road, Suite 101, Temple Hills, MD 20748 | 2009-03-10 |
| 1427220888 | Emerging Vision | Technician/Technologist | 3801 D Branch Ave, Iverson Mall, Temple Hills, MD 20748 | 2008-03-26 |
| Find all providers in zip 20748 | ||||
| Taxonomy Code | 305S00000X |
| Grouping | Managed Care Organizations |
| Classification | Point of Service |
| This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003434960 | Annette Marie Shelton | Point of Service | 12901 Laurel Bowie Rd Apt 202, Laurel, MD 20708-2203 | 2020-07-08 |
| 1053942359 | Patricia's Place Inc | Point of Service | 1209 Argyle Ave, Baltimore, MD 21217-2928 | 2020-01-27 |
| 1073170213 | Global Family Services, Inc. | Point of Service | 7406 24th Ave, Hyattsville, MD 20783-2614 | 2019-05-23 |
| 1487120333 | Chelsea F Mitchell | Point of Service | 3231 Superior Ln Ste A21, Bowie, MD 20715-1934 | 2018-10-18 |
| 1932692449 | Ambient Bodyworks: Corporate Massage and Mobil Spa | Point of Service | 4718 Eiderdown Ct, Owings Mills, MD 21117-6222 | 2018-06-08 |
| 1770950313 | Hsw Family Services Inc | Point of Service | 6604 Belcrest Rd Apt A, Hyattsville, MD 20782-8328 | 2015-08-31 |
| 1457728487 | Eelon Wellness and Massage | Point of Service | 6414 Bear Ct, #207, Waldorf, MD 20603-4301 | 2015-08-25 |
| 1851783260 | Regional Diagnostic Imaging | Point of Service | 14717 Valiant Ter, Burtonsville, MD 20866-1917 | 2015-02-22 |
| 1144628934 | Zainali Orthodonics | Point of Service | 490 Prospect Blvd, Suite C, Frederick, MD 21701-6430 | 2014-12-11 |
| 1073918306 | Nosta Tanyidah | Point of Service | 7813 Mandan Rd, T2, Greenbelt, MD 20770-2139 | 2014-10-29 |
| Find all providers with the same taxonomy | ||||
| City | TEMPLE HILLS |
| Zip Code | 20748 |
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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.