LUCI LEE REDMAN CASSELLA


Address: 8900 Columbia 100 Parway Suite G, Columbia, MD 21045
Phone: 4107409001

LUCI LEE REDMAN CASSELLA (NPI# 1730724220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1730724220
Entity Type Individual
Full Name LUCI LEE REDMAN CASSELLA
Credential CRNP
Practice Address 8900 Columbia 100 Parway Suite G
Columbia
MD 21045
Mailing Address 1022 S Bouldin St
Baltimore
MD 21224-5021
Practice Telephone 4107409001
Practice Fax Number 4107409005
Mailing Telephone 3103433400
Enumeration Date 2019-11-08
Last Update Date 2019-11-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine R241345 MD Allopathic & Osteopathic Physicians

Office Location

Street Address 8900 COLUMBIA 100 PARWAY SUITE G
City COLUMBIA
State MD
Zip Code 21045

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497374136 Keenan Eldridge Behavior Technician 8950 Md-108, Suite 100, Columbia, MD 21045 2020-04-13
1417519414 Howard County Health Department Clinic/Center Cradlerock Elementary School-based Wellness Center, 6700 Cradlerock Way, Columbia, MD 21045 2019-07-01
1649754490 Dana Pirzchalski Behavioral Analyst 8815 Columbia Parkwary, 4, Columbia, MD 21045 2018-09-18
1871089177 Melissa Jo Kennedy Behavior Technician 8815 Columbia Parkway, 4, Columbia, MD 21045 2018-07-10
1497246193 Kjd Physical Therapist 8900 Columbia 100 Pkwy Ste C, Columbia, MD 21045 2018-05-29
1174010276 Roger Lee Audiologist 8600 Snowden River Pkwy #309, Columbia, MD 21045 2018-04-16
1811497910 Dominique Nichole Hale Behavior Technician 8115 Columbia 100 Parkway, Suite 4, Columbia, MD 21045 2018-02-15
1982116802 Bradley D. Stiles Acupuncturist 6257 Deep River Cyn, Columbia, MD 21045 2017-11-01
1194234849 University of Maryland Eye Associates, P.a. Eyewear Supplier (Equipment, not the service) 5900 Waterloo Road, Suite 230, Columbia, MD 21045 2017-09-26
1306382601 Chimene Castor Nutritionist 6218 Black Cherry Circle, Columbia, MD 21045 2017-01-10
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

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1447868005 Brittany Mechelle Waterworth Family Medicine 3700 I 70 Dr Se Ste 106, Columbia, MO 65201-6587 2020-07-20
1730706839 John James Gannon Family Medicine Prisma Health Medical Group Family Medicine, 3209 Colonial Drive, Columbia, SC 29203 2020-07-06
1053938852 Garrison Glenn Rice Family Medicine Prisma Health Medical Group Family Medical Center, 3209 Colonial Drive, Columbia, SC 29203 2020-06-29
1457977563 Jenny Tatiana Gonzalez Guzman Family Medicine Prisma Health Family Medical Center, 3209 Colonial Drive, Columbia, SC 29203 2020-06-24
1942825500 Jarvis Jamal Johnson Family Medicine Prisma Health Family Medicine Center, 3209 Colonial Drive, Columbia, SC 29203 2020-06-10
1386268183 Nicolas Anthony Limogiannis Family Medicine Prisma Health Medical Group Family Medicine Center, 3209 Colonial Drive, Columbia, SC 29203 2020-06-08
1275177420 Palmetto Primary Care Physicians Family Medicine 1415 Blanding St Ste 2, Columbia, SC 29201-2922 2019-10-31
1558919852 Synergos Medical, LLC Family Medicine 1703 Oak Cliff Pl, Columbia, MO 65203-4719 2019-08-29
1972156982 Maury Regional Medical Group, Inc Family Medicine 2478 Nashville Hwy Ste A, Columbia, TN 38401-0634 2019-07-18
1033671003 Stat Wellness Center, Pllc Family Medicine 1225 Hampshire Pike, Columbia, TN 38401-4615 2019-04-01
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Competitor

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City COLUMBIA
Zip Code 21045

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Dataset Information

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.

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