CHINWE N. NDUBISI (NPI# 1770745184) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770745184 |
| Entity Type | Individual |
| Full Name | CHINWE N. NDUBISI |
| Credential | APRN, CRNP-F, PH.D |
| Practice Address |
1400 Mercantile Ln Suite 124 Largo MD 20774-5341 |
| Practice Telephone | 3012377383 |
| Mailing Telephone | 3013229292 |
| Mailing Fax Number | 3103229555 |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2015-09-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN56166 | DC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1400 MERCANTILE LN SUITE 124 |
| City | LARGO |
| State | MD |
| Zip Code | 20774-5341 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972596690 | Barbara Christine Williamson | Dermatology | 1400 Mercantile Ln, Ste#110, Largo, MD 20774-5341 | 2005-08-28 |
| 1699229021 | Growth Connections LLC | Social Worker | 1400 Mercantile Ln, Suite 260, Largo, MD 20774-5341 | 2016-08-15 |
| 1164884151 | Shirelle Wright | Social Worker | 1400 Mercantile Ln, Suite 260, Largo, MD 20774-5341 | 2016-03-28 |
| 1003214891 | Livin' The Light, LLC | Case Manager/Care Coordinator | 1400 Mercantile Ln, Suite 208, Largo, MD 20774-5341 | 2014-12-11 |
| 1669716395 | Visage Dermatology and Aesthetic Center, LLC | Dermatology | 1400 Mercantile Ln, Suite 110, Largo, MD 20774-5341 | 2012-11-19 |
| 1265709364 | Emery Jefferies | Counselor | 1400 Mercantile Ln, #232, Largo, MD 20774-5341 | 2011-11-17 |
| 1831485911 | Timothy Pass | Clinic/Center | 1400 Mercantile Ln, 232, Largo, MD 20774-5341 | 2011-06-27 |
| 1972897767 | Linda Uwanaka Ebonine | Physician Assistant | 1400 Mercantile Ln, Suite 200, Largo, MD 20774-5341 | 2011-06-08 |
| 1184916975 | Patrice Amos Brown | Occupational Therapist | 1400 Mercantile Ln, 240, Largo, MD 20774-5341 | 2011-05-11 |
| 1467751289 | Yvonne D Loftin-woodard | Social Worker | 1400 Mercantile Ln, 232, Largo, MD 20774-5341 | 2011-03-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922637156 | Marie Charlotte Teboutsou Tsodzou | Nurse Practitioner | 9317 Lavall Drive, Upper Marlboro, MD 20774 | 2020-04-08 |
| 1467093443 | Richland Support Services Corp. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11551 Joyceton Drive, Upper Marlboro, MD 20774 | 2019-10-01 |
| 1770134124 | Alan L Kahn | Counselor | 301 Largo Rd., Largo, MD 20774 | 2019-09-26 |
| 1619522034 | Francisca Ifeoma Alintah | Registered Nurse | 511 Dennis Magruder Dr., Upper Marlboro, MD 20774 | 2019-08-02 |
| 1609337146 | Crystal Osuchukwu | Counselor | 1300 Mccormick Dr, Upper Marlboro, MD 20774 | 2019-03-27 |
| 1861968489 | Collaborative Concepts of Maryland | Counselor | 1400 Mercantile Lane, Suite 208, Largo, MD 20774 | 2018-10-22 |
| 1073097622 | Triple Angels Homecare Services, Inc. | In Home Supportive Care | 1210 Dixie Bowie Way, Upper Marlboro, MD 20774 | 2018-09-19 |
| 1922589654 | Optimum Resource Services, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 711 Harry S. Truman Dr, Unit #105, Largo, MD 20774 | 2018-08-21 |
| 1811475254 | Kolawole Richard Olatunde | Home Health Aide | 11405 Villa Court, Upper Marlboro, MD 20774 | 2018-07-28 |
| 1548747769 | Tiara Williams | Counselor | 15207 Harriet Clotilda Way, Upper Marlboro, MD 20774 | 2018-07-20 |
| Find all providers in zip 20774 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134727654 | Chelsea Lee Deluca | Nurse Practitioner | 1301 2nd Ave Sw Fl 6, Largo, FL 33770-3120 | 2020-10-16 |
| 1275144719 | Rosabelle Magloire Chism | Nurse Practitioner | 11542 92nd Street North, Largo, FL 33773 | 2020-08-10 |
| 1275143596 | Christina Vernessa Turner | Nurse Practitioner | 12190 Seminole Blvd Ste A, Largo, FL 33778-2833 | 2020-08-01 |
| 1477161388 | Nicole Fosnacht | Nurse Practitioner | 502 Crooked Pine Ct, Largo, FL 33770-2722 | 2020-07-16 |
| 1992354955 | Majlinda Rakipi Holmes | Nurse Practitioner | 8787 Bryan Dairy Rd Ste 230, Largo, FL 33777-1258 | 2019-09-11 |
| 1770132490 | Vanessa Marie Belcher | Nurse Practitioner | 9652 128th Ter, Largo, FL 33773-1223 | 2019-09-05 |
| 1750942843 | Bee Home Medical, LLC | Nurse Practitioner | 3116 Meta Ct, Largo, FL 33771-3951 | 2019-06-28 |
| 1770930190 | Albert H Thurlow IIi | Nurse Practitioner | 10471 Whittington Ct, Largo, FL 33773 | 2016-05-16 |
| 1891161808 | Jessica Nicole Mcglone | Nurse Practitioner | 601 Rosery Rd Ne Apt 1502, Largo, FL 33770 | 2015-08-12 |
| 1003203894 | Alyssa Benson | Nurse Practitioner | 12420 130th Ave N, Largo, FL 33774-1919 | 2015-04-20 |
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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.