FAMILYCARE NURSE PRACTITIONER LLC (NPI# 1821628801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821628801 |
| Entity Type | Organization |
| Organization Name | FAMILYCARE NURSE PRACTITIONER LLC |
| Practice Address |
2300 Garrison Blvd Ste 100 Baltimore MD 21216-2308 |
| Practice Telephone | 4109452289 |
| Practice Fax Number | 4109454255 |
| Mailing Telephone | 4109452289 |
| Mailing Fax Number | 4109454255 |
| Enumeration Date | 2020-01-19 |
| Last Update Date | 2020-01-19 |
| Authorized Official Name | NGWANMA NWOKORO (CEO) |
| Authorized Official Telephone | 4109452289 |
| Authorized Official Credential | CRNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 772050500 | 05 |
| Street Address |
2300 GARRISON BLVD STE 100 |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21216-2308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740776632 | Ngwanma Alvanis Nwokoro | Nurse Practitioner | 2300 Garrison Blvd Ste 100, Baltimore, MD 21216-2308 | 2018-07-03 |
| 1811472038 | Shanti David LLC | Pediatrics | 2300 Garrison Blvd Ste 100, Baltimore, MD 21216-2308 | 2018-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083279343 | Matanmi Olusesan Kuforiji | Social Worker | 2300 Garrison Boulevard Suite 101, Baltimore, MD 21216 | 2019-05-02 |
| 1003389602 | Michelle Antoinette Goines | Social Worker | 1522 N Ellamont St, Baltimore, MD 21216 | 2019-01-07 |
| 1780178764 | Lifespring Laboratories | Clinical Medical Laboratory | 2200 Garrison Blvd Ste 3013, Baltimore, MD 21216 | 2018-06-21 |
| 1467980896 | Patricia Ann Harriott | Counselor | 3312alto Rd., Baltimore, MD 21216 | 2017-05-30 |
| 1538549209 | Baltimore Podiatry Group, Dr. Benjamin Kleinman, P.a. | Durable Medical Equipment & Medical Supplies | 2300 Garrison Blvd., Suite 105, Baltimore, MD 21216 | 2015-06-08 |
| 1649461500 | Issac Corrette Evans Jr. | Adult Companion | 2810 Harlem Ave, Baltimore, MD 21216 | 2007-08-06 |
| 1396824959 | Linda S Miles | Dentist | 4155 Patterson Ave, Baltimore, MD 21216 | 2006-11-03 |
| 1902913197 | Miriam W Ingram | Nurse Practitioner | 3102 N Hilton Street, Baltimore, MD 21216 | 2006-08-24 |
| 1326065905 | Linda P Weisburger | Nurse Practitioner | 2001 N Warwick Ave, Baltimore, MD 21216 | 2006-07-17 |
| 1972502680 | Shavon Trenice Darden | Nurse Practitioner | 2601 W North Ave, Hhsb Suite 131, Baltimore, MD 21216 | 2005-07-15 |
| Find all providers in zip 21216 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407476955 | Rcc Community Services, Inc | Clinic/Center | 2628 Harford Rd, Baltimore, MD 21218-4928 | 2020-04-24 |
| 1164926085 | Redeem Healthcare and Medical System Inc | Clinic/Center | 3240 Belair Rd Fl 1, Baltimore, MD 21213 | 2018-03-23 |
| 1669983904 | Pricare Medical Center LLC | Clinic/Center | 8113 Harford Rd Ste 100, Baltimore, MD 21234-5790 | 2017-10-13 |
| 1720597420 | Margaret Temitayo Owolabi | Clinic/Center | 5513 York Rd, Baltimore, MD 21212-3804 | 2017-09-25 |
| 1467714618 | Community Care Center Corporation | Clinic/Center | 1216 E Baltimore St, Attn: Community Care Center, Baltimore, MD 21202-4710 | 2012-06-13 |
| 1033716329 | Divine Care Family Practice, LLC | Clinic/Center | 6018 Harford Rd, Baltimore, MD 21214-1327 | 2020-10-08 |
| 1902448335 | Jade Health & Wellness, LLC | Clinic/Center | 3301 Belair Rd, Baltimore, MD 21213-1257 | 2019-10-17 |
| 1871154278 | Clinic Management and Development Services, Inc. | Clinic/Center | 1850 N Milton Ave, Baltimore, MD 21213-2549 | 2019-06-26 |
| 1760941041 | North Point Medical Group, LLC | Clinic/Center | 2805 N Point Rd, Baltimore, MD 21222-2413 | 2019-03-18 |
| 1750849584 | Kleese Family Care LLC | Clinic/Center | 2 Hamill Rd, Ste 222, Baltimore, MD 21210-1815 | 2019-03-11 |
| 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.