MS. JODY L HALCOTT (NPI# 1801975750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801975750 |
| Entity Type | Individual |
| Full Name | MS. JODY L HALCOTT |
| Credential | APRN |
| Practice Address |
11101 Cathage Rd Berlin MD 21811 |
| Mailing Address |
Po Box 569 Rangeley ME 04970-0569 |
| Practice Telephone | 4109126104 |
| Practice Fax Number | 4109126105 |
| Mailing Telephone | 2078642699 |
| Mailing Fax Number | 2078642969 |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2018-08-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | AC002411 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363L00000X | Nurse Practitioner | 110654 | NE | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
R64829 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 10025007000 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 600 Gallegos St, Logan, NM 88426 | 5054875488 | 5054875489 |
| Po Box 1367, Bethel, ME 042171367 | 2078242193 | 2078243005 |
| Street Address |
11101 CATHAGE RD |
| City | BERLIN |
| State | MD |
| Zip Code | 21811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144707720 | Jordan Pearson Braniff | Nurse Practitioner | 11101 Cathage Rd, Berlin, MD 21811-2115 | 2018-07-26 |
| 1033661780 | Sharon Hartman | Pharmacist | 11101 Cathage Rd, Berlin, MD 21811-2115 | 2016-10-28 |
| 1851795017 | Tidalhealth Peninsula Regional, Inc. | Pharmacy | 11101 Cathage Rd, Berlin, MD 21811 | 2014-10-17 |
| 1720319452 | Heather Kohli-werner | Physician Assistant | 11101 Cathage Rd, Berlin, MD 21811 | 2010-01-20 |
| 1457583759 | Lori Michele Latona | Nurse Practitioner | 11101 Cathage Rd, Berlin, MD 21811-2115 | 2009-08-20 |
| 1548419476 | Mairen L Baunhofer | Nurse Practitioner | 11101 Cathage Rd, Berlin, MD 21811 | 2008-09-16 |
| 1902082233 | Tammy Lynn Donoway | Family Medicine | 11101 Cathage Rd, Berlin, MD 21811 | 2008-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366912909 | Kathleen Cathell | Speech-Language Pathologist | 11187 Racetrack Rd, Berlin, MD 21811 | 2018-11-27 |
| 1033613336 | Kimberly Rose Richardson | Registered Nurse | Atlantic General Hospital, 9733 Healthway Dr, Berlin, MD 21811 | 2018-03-21 |
| 1780108514 | Jayme Sroka Mahoney | Marriage & Family Therapist | 124 N. Main St. Ste. C, Berlin, MD 21811 | 2017-08-02 |
| 1013332543 | Ray Charles Lockamy Jr. | Behavior Technician | 10514 Racetrack Rd Ste G, Berlin, MD 21811 | 2014-02-20 |
| 1972845121 | Timothy Pearson | Dermatology | 9948 N. Main St., Berlin, MD 21811 | 2013-03-25 |
| 1710248315 | Jaime Farrell Coates | Counselor | 378 Schooner Ln, Berlin, MD 21811 | 2012-05-31 |
| 1902185697 | Lee Ahlstrom | Pharmacist | 11307 Manklin Creek Rd, Berlin, MD 21811 | 2011-08-11 |
| 1780987677 | Worcester County Health Department | Public Health or Welfare | 107 Williams Street, Worcester County Health Department Dental Center, Berlin, MD 21811 | 2010-12-15 |
| 1942511563 | Corey Lee Smith | Dentist | 11204 Racetrack Rd Ste 102, Berlin, MD 21811 | 2010-06-29 |
| 1255656062 | Sarah Mae Brown | Pharmacist | Apple Discount Drugs 314 Franklin Avenue, Berlin, MD 21811 | 2010-04-05 |
| Find all providers in zip 21811 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306476981 | Morgan Lamson | Nurse Practitioner | Central Vermont Medical Center, 130 Fisher Road, Berlin, VT 05602 | 2020-01-22 |
| 1265086037 | Abbey Lynne Rouleau | Nurse Practitioner | Cvmc Palliative Care, 130 Fisher Road 2nd Floor, Berlin, VT 05602 | 2019-07-30 |
| 1073082343 | Lynn Swanson | Nurse Practitioner | 534 Toll Gate Rd, Berlin, CT 06037-4007 | 2018-11-16 |
| 1801869748 | Kathleen A Bryant | Nurse Practitioner | 246 Granger Rd, Suite 1, Berlin, VT 05602-9516 | 2006-02-10 |
| 1144707720 | Jordan Pearson Braniff | Nurse Practitioner | 11101 Cathage Rd, Berlin, MD 21811-2115 | 2018-07-26 |
| 1063909398 | John A Hancock | Nurse Practitioner | 9715 Healthway Dr, Berlin, MD 21811-3500 | 2018-04-23 |
| 1548630320 | Christine N Carriere | Nurse Practitioner | 225 Memorial Dr, Berlin, WI 54923-1243 | 2015-10-06 |
| 1336518778 | Russell Little | Nurse Practitioner | 175 Cross Keys Rd, Bldg. 300a, Berlin, NJ 08009-9263 | 2015-09-16 |
| 1154704542 | Kristen J Nickelatti | Nurse Practitioner | 225 Memorial Dr Ste 2010, Berlin, WI 54923-1243 | 2015-07-02 |
| 1851633499 | Tania Bellia-weiss | Nurse Practitioner | 9733 Healthway Dr, Berlin, MD 21811-1155 | 2013-03-21 |
| Find all providers in BERLIN | ||||
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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.