MS. WANDA INEZ DOMINIC (NPI# 1811180474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811180474 |
| Entity Type | Individual |
| Full Name | MS. WANDA INEZ DOMINIC |
| Credential | LPN |
| Practice Address |
1918 Druid Hill Ave Baltimore MD 21217-3502 |
| Practice Telephone | 4438723533 |
| Practice Fax Number | 4438723533 |
| Mailing Telephone | 4438723533 |
| Mailing Fax Number | 4438723533 |
| Enumeration Date | 2007-08-27 |
| Last Update Date | 2007-08-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | LP40543 | MD | Nursing Service Providers |
| Street Address |
1918 DRUID HILL AVE |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21217-3502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962979500 | Jia K Allen | Pharmacist | 2509-2523 Pennsylvania Ave, Baltimore, MD 21217 | 2018-11-01 |
| 1982186102 | Family First Home Care LLC | In Home Supportive Care | 1645 N Calhoun St Apt 205, Baltimore, MD 21217 | 2018-09-04 |
| 1821598616 | Organizational Pathways, LLC | Counselor | 2306 Mount Royal Ter Apt 1a, Baltimore, MD 21217 | 2018-02-18 |
| 1881131308 | Domonique Matthews | Registered Nurse | 1515 W. North Ave, 1st Floor, Baltimore, MD 21217 | 2017-01-23 |
| 1992121982 | Dorren Rennes | Counselor | 2350 Eutaw Place, Baltimore, MD 21217 | 2014-03-14 |
| 1437498615 | Care One Pharmacy Ltc/specialty Pharmacy | Pharmacy | 2277-2279 Reisterstown Road, Baltimore, MD 21217 | 2013-02-07 |
| 1790023448 | Adeola Titilayo Adefioye | Registered Nurse | 922-924 W. North Avenue, Total Health Care - True Health, Baltimore, MD 21217 | 2013-01-30 |
| 1912274150 | Total Health Care Inc. | Community/Behavioral Health | 5101 Division Street, Baltimore, MD 21217 | 2011-11-16 |
| 1386816395 | Kennedy Krieger Education and Communication | Social Worker | 1311 N. Gilmor St., Gilmore School, Baltimore, MD 21217 | 2008-03-31 |
| 1740452762 | Kennedy Krieger Education and Communication | Social Worker | 1200 Pennsylvania Ave., Furman L. Templeton, Baltimore, MD 21217 | 2008-03-31 |
| Find all providers in zip 21217 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073135455 | Sherlyn Sandy | Licensed Practical Nurse | 4621 Arabia Ave, Baltimore, MD 21214-3234 | 2020-05-08 |
| 1932745221 | Melissa Suzanne Massey-smith | Licensed Practical Nurse | 1120 W Washington St, Baltimore, OH 43105-1158 | 2019-11-21 |
| 1285281535 | Lotus Pediatric-psychiatry and Behavioral Health Services | Licensed Practical Nurse | 503 Evergreen St, Baltimore, MD 21223-1000 | 2019-08-21 |
| 1033679683 | Lakeisha Jones | Licensed Practical Nurse | 1618 N Broadway, Baltimore, MD 21213-2315 | 2019-03-20 |
| 1447784483 | Arnita Grant | Licensed Practical Nurse | 6310 Green Spring Avenue, Suite 303, Baltimore, MD 21209 | 2017-04-17 |
| 1861897894 | Christopher Duve | Licensed Practical Nurse | 399 Carroll Eastern Rd Nw, Baltimore, OH 43105-9747 | 2014-11-04 |
| 1770820854 | Orleen Alexanderina Igwe | Licensed Practical Nurse | 12 Plateau Rd, Baltimore, MD 21221-7030 | 2013-01-10 |
| 1578885638 | John Barr | Licensed Practical Nurse | 9870 Basil Rd, Baltimore, OH 43105-9435 | 2010-02-17 |
| 1174751416 | Carolyn Williams | Licensed Practical Nurse | 3605 Old York Rd, Baltimore, MD 21218-2547 | 2009-06-25 |
| 1699988378 | Olubunmi Ajoke Aboyewa | Licensed Practical Nurse | 2305 Cedley St, Baltimore, MD 21230-3117 | 2007-05-08 |
| Find all providers in BALTIMORE | ||||
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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.