MRS. KRISTEN LEE SELF (NPI# 1821602582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821602582 |
| Entity Type | Individual |
| Full Name | MRS. KRISTEN LEE SELF |
| Practice Address |
5755 Cedar Ln Columbia MD 21044-2999 |
| Mailing Address |
5839 Brandons Way Elkridge MD 21075-7301 |
| Practice Telephone | 4108844888 |
| Mailing Telephone | 7035093529 |
| Enumeration Date | 2020-09-01 |
| Last Update Date | 2020-09-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
RN199892 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497316418 | Kristen Self | Dentist | 169 Ashley Avenue, Rm 202 Main Hospital, Msc 333, Charleston, SC 29425 | 2019-06-21 |
| Street Address |
5755 CEDAR LN |
| City | COLUMBIA |
| State | MD |
| Zip Code | 21044-2999 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275539421 | Melinda Ellen Kantsiper | Internal Medicine | 5755 Cedar Ln, Howard County General Hospital -cims, Columbia, MD 21044-2912 | 2005-06-22 |
| 1194322636 | Stephanie Jenkins | Nurse Practitioner | 5755 Cedar Ln, Columbia, MD 21044-2912 | 2020-10-07 |
| 1578177226 | Kristin Ann Lederman | Nurse Practitioner | 5755 Cedar Ln, Columbia, MD 21044-2999 | 2020-09-01 |
| 1760092175 | Ashley Dozier | Nurse Practitioner | 5755 Cedar Ln, Columbia, MD 21044-2912 | 2020-08-01 |
| 1619515442 | Nikitta Dhillon | Physician Assistant | 5755 Cedar Ln, Columbia, MD 21044-2912 | 2019-12-11 |
| 1760025985 | Yande Cheng | Physician Assistant | 5755 Cedar Ln, Columbia, MD 21044-2999 | 2019-10-21 |
| 1073155586 | Dipal Patel | Physician Assistant | 5755 Cedar Ln, Columbia, MD 21044-2912 | 2019-10-16 |
| 1861034159 | Charles Wangui | Nurse Practitioner | 5755 Cedar Ln, Columbia, MD 21044-2912 | 2019-10-08 |
| 1972153849 | Rebeccah W Depp | Nurse Practitioner | 5755 Cedar Ln, Columbia, MD 21044-2912 | 2019-09-12 |
| 1295387132 | Katy Feichtinger | Physician Assistant | 5755 Cedar Ln, Columbia, MD 21044-2912 | 2019-07-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821699331 | Brightview Columbia, LLC | Alzheimer Center (Dementia Center) | 6670 Martin Road, Columbia, MD 21044 | 2020-11-03 |
| 1689291544 | Diana Matthews | Physical Therapist | 6016 Jerrys Drive, Columbia, MD 21044 | 2020-06-26 |
| 1902380926 | Bagiwa Healthcare Services LLC | Nursing Care | 10630 Little Patuxent Park Way, Suite 314i, Colombia, MD 21044 | 2018-09-17 |
| 1295228245 | April Bloom Assisted Living, LLC | Assisted Living Facility | 5037 East Durham Rd, Columbia, MD 21044 | 2018-06-13 |
| 1437659562 | La Shawna A Obame | Counselor | 10451 Twin Rivers Rd Ste 100, Columbia, MD 21044 | 2018-02-15 |
| 1205335262 | Rashida Annette Winestock | Registered Nurse | 10440 Little Patuxent Pkwy 800, Columbia, MD 21044 | 2018-02-06 |
| 1215436274 | Terri Lynn Buzby | Registered Nurse | 10440 Little Patuxuent Pkwy 800, Columbia, MD 21044 | 2018-02-06 |
| 1134628191 | Sarah Elizabeth Stiltner | Registered Nurse | 10440 Little Patuxent Pkwy Suite 800, Columbia, MD 21044 | 2018-02-06 |
| 1326547381 | David Oliver Sloan Jr. | Registered Nurse | 10440 Little Patuxent Parkway Suite 800, Columbia, MD 21044 | 2018-02-06 |
| 1467950980 | Jill Sheppard Davenport | Nutritionist | 10801 Hickory Ridge Rd Suite 215, C/o Holistic Child Psychiatry, Columbia, MD 21044 | 2018-01-30 |
| Find all providers in zip 21044 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093225096 | Edna Ayah | Nurse Practitioner | 8310 Guilford Rd, Columbia, MD 21046-1279 | 2017-10-04 |
| 1366995789 | Shawn Danielle Neyens | Nurse Practitioner | 303 N Keene St Ste 404, Columbia, MO 65201-7193 | 2016-08-02 |
| 1962823443 | Erin Gubbins | Nurse Practitioner | 500 N Keene St Ste 303, Columbia, MO 65201-8104 | 2013-12-30 |
| 1386924991 | Eleanor Doris Merboth | Nurse Practitioner | 6100 Dobbin Rd., Columbia, MD 21045 | 2011-08-26 |
| 1902986680 | Penelope Joan Buckman | Nurse Practitioner | 5 Medical Park Road, Columbia, SC 29203 | 2006-10-16 |
| 1952335077 | Karen Mae Waganer | Nurse Practitioner | 2113 Adams Grv Ste 101, Columbia, SC 29203-6957 | 2006-07-11 |
| 1740210129 | Laura L Szadek | Nurse Practitioner | Nine Medical Park, Suite 230, Columbia, SC 29203 | 2006-07-03 |
| 1104866771 | Elizabeth M Berg | Nurse Practitioner | 9 Richland Medical Park Dr Ste 500, Columbia, SC 29203-6870 | 2006-06-08 |
| 1871546226 | Sara G Fuller | Nurse Practitioner | 2638 Two Notch Rd, Suite 110, Columbia, SC 29204-1454 | 2006-05-18 |
| 1679531859 | Sara Margaret Haslag | Nurse Practitioner | 2011 Corona Rd, Suite 207, Columbia, MO 65203-2548 | 2006-05-03 |
| Find all providers in COLUMBIA | ||||
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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.