FESE E BOKOSAH (NPI# 1801401328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801401328 |
| Entity Type | Individual |
| Full Name | FESE E BOKOSAH |
| Practice Address |
2671 Ricker Pond Ct Waldorf MD 20603-2060 |
| Mailing Address |
2671 Ricker Pond Ct Waldorf MD 20603 |
| Practice Telephone | 2404636359 |
| Enumeration Date | 2020-09-11 |
| Last Update Date | 2020-10-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
RN1032974 | DC | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
R205199 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2671 RICKER POND CT |
| City | WALDORF |
| State | MD |
| Zip Code | 20603-2060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437764214 | Kelly Weaver | Nurse Practitioner | 11315 Pembroke Square, 110, Waldorf, MD 20603 | 2020-09-09 |
| 1962937839 | Alexis Nicole Smith | Specialist/Technologist | 6115 Tapir Pl, Waldorf, MD 20603 | 2017-04-27 |
| 1235585472 | Msb Counseling Services, Inc | Counselor | 1282 Smallwood Drive W, Suite 460, Waldorf, MD 20603 | 2016-05-06 |
| 1619390325 | Tara Wood | Nurse Practitioner | 3070crain Highway, Waldorf, MD 20603 | 2014-01-31 |
| 1649603424 | Lauren Ashley White | Speech-Language Pathologist | 10810 Winchester Street Apt127, Waldorf, MD 20603 | 2013-08-15 |
| 1477810067 | Johnathan Vital | Clinical Neuropsychologist | 2413 Altenburg Ct, Waldorf, MD 20603 | 2012-04-19 |
| 1831480615 | Tara Marie Adams | Physical Therapist | 11340 Pembrooke Sq Ste 211, Waldorf, MD 20603 | 2011-04-27 |
| 1891007662 | Tanuja Katta | Pharmacist | 3385 Crain High Way, Rite Aid 11197, Waldorf, MD 20603 | 2010-07-09 |
| 1962725697 | Rhonda Bumpers-bland | Occupational Therapist | 2945 Fern Hill Place, Waldorf, MD 20603 | 2010-03-09 |
| 1265672901 | Shannon L Hamm | Counselor | 6126 Gray Wolf Court, Waldorf, MD 20603 | 2009-02-20 |
| Find all providers in zip 20603 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366096034 | Tammy Fusilier | Nurse Practitioner | 3460 Old Washington Rd Ste 203a, Waldorf, MD 20602-3243 | 2019-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558975508 | Marlene Joan Margerum | Nurse Practitioner | 6052 Augustine Ave, Elkridge, MD 21075-5351 | 2020-09-06 |
| 1386258929 | Suzette Jones | Nurse Practitioner | Chesapeake Shores Nursing Home, 21412 Great Mills Road, Lexington Park, MD 20653 | 2020-09-01 |
| 1760091003 | Rachel Langley | Nurse Practitioner | 9 Cedar Chip Ct, Parkville, MD 21234-8035 | 2020-07-22 |
| 1679113054 | Clifton Dawson IIi | Nurse Practitioner | 10230 New Hampshire Ave # 340, Silver Spring, MD 20903-1400 | 2020-01-13 |
| 1750920179 | Jecinta Chinyere Ogbennah | Nurse Practitioner | 6629 Aaron Mee Way, Baltimore, MD 21237-4337 | 2020-01-02 |
| 1578114229 | Carolina Delacruz | Nurse Practitioner | 5601 Loch Raven Blvd Bldg Center, Baltimore, MD 21239-2945 | 2019-09-24 |
| 1649839218 | Lauren Anne Flowers | Nurse Practitioner | 202 Leslie Ave, Nottingham, MD 21236-4217 | 2019-06-07 |
| 1255893061 | Irene W. Njuguna | Nurse Practitioner | 4307 Silver Spring Rd, Perry Hall, MD 21128-9656 | 2019-04-01 |
| 1861982936 | Kim Marie Redfearn | Nurse Practitioner | 18415 Garner Ln, Accokeek, MD 20607-3228 | 2018-05-15 |
| 1033620398 | Samson Olanrewaju Arigbamu | Nurse Practitioner | 4800 Seton Drive, Baltimore, Baltimore, MD 21215 | 2017-10-13 |
| Find all providers with the same taxonomy | ||||
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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.