MS. JENNIFER CAROL STREET (NPI# 1710475694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710475694 |
| Entity Type | Individual |
| Full Name | MS. JENNIFER CAROL STREET |
| Credential | RN |
| Practice Address |
4545 Crain Hwy White Plains MD 20695-3045 |
| Mailing Address |
Po Box 1050 White Plains MD 20695-1050 |
| Practice Telephone | 3016096700 |
| Practice Fax Number | 3016096741 |
| Mailing Telephone | 3016096700 |
| Mailing Fax Number | 3016096741 |
| Enumeration Date | 2018-04-26 |
| Last Update Date | 2018-04-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
R216939 | MD | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154699940 | Jennifer E Street | Local Education Agency (LEA) | 9076 North Rd, Bridgeport, NY 13030-9662 | 2011-12-07 |
| 1144605999 | Jennifer Street | Technician, Other | 1920 Nw Amberglen Pkwy Ste 150, Beaverton, OR 97006-6977 | 2015-07-22 |
| 1326339714 | Jennifer Joyce Street | Specialist | 30 Buxton Farm Rd, Stamford, CT 06905-1224 | 2011-04-20 |
| 1083938799 | Jennifer Donovan Street | Social Worker | 5707 N 22nd St, Tampa, FL 33610-4350 | 2010-03-24 |
| 1861640104 | Jennifer Ruth Street | Physician Assistant | 1111 Ring Rd, Elizabethtown, KY 42701-4900 | 2008-08-28 |
| Street Address |
4545 CRAIN HWY |
| City | WHITE PLAINS |
| State | MD |
| Zip Code | 20695-3045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003018813 | Donald Harry Taylor | Psychiatry & Neurology | 4545 Crain Hwy, Substance Abuse Services, White Plains, MD 20695-1050 | 2007-06-04 |
| 1811526189 | Kassandra Kerns | Social Worker | 4545 Crain Hwy, White Plains, MD 20695-3045 | 2020-04-07 |
| 1154958684 | Charelle Stewart | Counselor | 4545 Crain Hwy, White Plains, MD 20695-3045 | 2020-03-25 |
| 1457985723 | Sherita Monique Hawkes | Counselor | 4545 Crain Hwy, White Plains, MD 20695-3045 | 2020-02-26 |
| 1568023562 | Joselyn Adele Brown | Counselor | 4545 Crain Hwy, White Plains, MD 20695-3045 | 2019-06-21 |
| 1790250124 | John Philip Rooney | Social Worker | 4545 Crain Hwy, White Plains, MD 20695-3045 | 2018-10-12 |
| 1083198410 | Rian Waters | Registered Nurse | 4545 Crain Hwy, White Plains, MD 20695-3045 | 2018-09-21 |
| 1790271401 | Kimberly Garner | Social Worker | 4545 Crain Hwy, White Plains, MD 20695-3045 | 2018-07-05 |
| 1093207052 | Angela Deal | Health Educator | 4545 Crain Hwy, White Plains, MD 20695-3045 | 2018-06-05 |
| 1376032771 | Edith Kratzer | Registered Nurse | 4545 Crain Hwy, White Plains, MD 20695-3045 | 2018-05-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023590452 | Dominique Bouldin | Driver | 11136 Saint Christopher Drive, White Plains, MD 20695 | 2018-09-01 |
| 1366928665 | Wooten Lyons LLC | Psychiatry & Neurology | 10665 Stanhaven Place, Suite 300a, White Plains, MD 20695 | 2018-07-19 |
| 1962914507 | Kids By The Bay Dental LLC | Clinic/Center | 5010 Regency Place Ste 102, White Plains, MD 20695 | 2017-11-03 |
| 1528592896 | Darlena Austin | Social Worker | 5310 Exeter Place, White Plains, MD 20695 | 2017-04-13 |
| 1609307040 | Phylicia Wooten | Counselor | 5510 Regency Place Suite 203, White Plains, MD 20695 | 2017-03-27 |
| 1760856488 | Stephanie W Allen | Physical Therapist | Ospt South Office 4470 Regency Place, Suite #100, White Plains, MD 20695 | 2015-11-18 |
| 1457743122 | Raven Gray | Physical Therapy Assistant | 10708 Esprit Place, White Plains, MD 20695 | 2015-03-04 |
| 1043629850 | Adenike Kupolati | Pharmacist | 4220 Altamont Place, White Plains, MD 20695 | 2014-08-06 |
| 1942532064 | Divine Intervention Community Support Services | Community/Behavioral Health | 7727 Chesterfied Ct., White Plains, MD 20695 | 2010-02-01 |
| 1740517895 | Optionet Support Service | Community/Behavioral Health | 7727 Chesterfield Court, White Plains, MD 20695 | 2009-11-11 |
| Find all providers in zip 20695 | ||||
| Taxonomy Code | 163WP0809X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770599987 | Judith Mayes | Registered Nurse | 15 Chatham Pl, White Plains, NY 10605-3711 | 2006-07-31 |
| 1033100136 | Maureen B. Doyle | Registered Nurse | 12 Harvard Ct, White Plains, NY 10605-1604 | 2005-10-31 |
| 1730532318 | Jane Milazzo | Registered Nurse | 21 Bloomingdale Rd, Partial Hospitalization, White Plains, NY 10605-1504 | 2016-07-19 |
| 1902041635 | Miriam Judy Cruz-soto | Registered Nurse | 360 Mamaroneck Ave, White Plains, NY 10605-1700 | 2008-12-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003438284 | Christabell Swiri Fai | Registered Nurse | 8413 Snowden Loop Ct, Laurel, MD 20708-2355 | 2020-05-11 |
| 1619516267 | Bernadette Maria Zorio | Registered Nurse | 2855 Hambleton Rd, Riva, MD 21140-1132 | 2019-12-30 |
| 1518505544 | Lsmaynard LLC | Registered Nurse | 4500 N Park Ave Ste N801, Chevy Chase, MD 20815-7239 | 2019-12-20 |
| 1497390413 | Kehinde Oyekan | Registered Nurse | 244 Persimmon Cir, Reisterstown, MD 21136-6464 | 2019-11-13 |
| 1841845245 | Mary Sidhwani | Registered Nurse | 5119 Crystal Park Ln, Ellicott City, MD 21043-7947 | 2019-08-03 |
| 1750943650 | Toyin Atoki | Registered Nurse | 21 Springtide Ct, Baltimore, MD 21220-2374 | 2019-07-01 |
| 1518523075 | Outreach Recovery II | Registered Nurse | 2568 Riva Rd Ste 203, Annapolis, MD 21401-7405 | 2019-05-10 |
| 1194286757 | Wendy Christine Shepard | Registered Nurse | 1821 Portal St Ste A, Baltimore, MD 21224-6541 | 2019-03-27 |
| 1619468329 | Jane Viola Graham | Registered Nurse | 10225 Colesville Rd, Silver Spring, MD 20901-2429 | 2018-05-29 |
| 1871096081 | Adilah M. Meredith-kirton | Registered Nurse | National Institute of Mental Health-division Of, Intramural Research Programs Building 35a Suite Ge-400, Bethesda, MD 20892 | 2018-03-14 |
| Find all providers with the same taxonomy | ||||
| City | WHITE PLAINS |
| Zip Code | 20695 |
Please comment or provide details below to improve the information on MS. JENNIFER CAROL STREET.
| 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.