SUMATHI JEGANNATHAN (NPI# 1831336171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831336171 |
| Entity Type | Individual |
| Full Name | SUMATHI JEGANNATHAN |
| Credential | ANP |
| Practice Address |
405 Frederick Rd Ste 11 Catonsville MD 21228-4645 |
| Mailing Address |
7903 Orion Cir Apt B 101 Laurel MD 20724-3101 |
| Practice Telephone | 4107884411 |
| Practice Fax Number | 4107884545 |
| Mailing Telephone | 3147196119 |
| Mailing Fax Number | 4107884545 |
| Enumeration Date | 2009-01-08 |
| Last Update Date | 2012-09-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 0024168437 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
AC001027 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
405 FREDERICK RD STE 11 |
| City | CATONSVILLE |
| State | MD |
| Zip Code | 21228-4645 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336136035 | Catonsville Primary Care Center, Pa | Internal Medicine | 405 Frederick Rd, Suite 210, Catonsville, MD 21228-4645 | 2005-09-29 |
| 1053935106 | Kreis Physical Therapy LLC | Clinic/Center | 405 Frederick Rd, Catonsville, MD 21228-4645 | 2020-06-04 |
| 1316444631 | Jennifer Weil | Health Educator | 405 Frederick Rd, Catonsville, MD 21228-4645 | 2018-04-12 |
| 1386160877 | Pd Associates, LLC | Clinic/Center | 405 Frederick Rd, Catonsville, MD 21228-4645 | 2017-08-16 |
| 1164958534 | Dayse Ib Dental Iv PC | Clinic/Center | 405 Frederick Rd, Suite 150, Catonsville, MD 21228-4645 | 2017-05-04 |
| 1659721272 | Angela Hanneman | Optometrist | 405 Frederick Rd, Suite #102, Catonsville, MD 21228-4645 | 2016-06-14 |
| 1396129086 | Susan A Johns, Lcsw-c, Pa | Social Worker | 405 Frederick Rd, Suite 263, Catonsville, MD 21228-4647 | 2015-07-13 |
| 1134502693 | Michelle Schoonmaker | Counselor | 405 Frederick Rd, Suite 158, Catonsville, MD 21228-4645 | 2015-07-02 |
| 1952795544 | Jacquelyn Paylor | Nurse Practitioner | 405 Frederick Rd, Suite 11, Catonsville, MD 21228-4645 | 2015-03-23 |
| 1871928713 | Gloria Larios Olivares | Nurse Practitioner | 405 Frederick Rd, Suite 11, Catonsville, MD 21228-4645 | 2013-09-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699307975 | Playful Minds | Social Worker | 1009 Frederick Road, Baltimore, MD 21228 | 2020-02-05 |
| 1649818329 | Resolute Medical Care LLC | Nurse Practitioner | 4 E. Rolling Crossroads, Ste 100, Catonsville, MD 21228 | 2019-12-13 |
| 1760020416 | Bh Brightview Rolling Hills Opco, LLC | Alzheimer Center (Dementia Center) | 848 South Rolling Road, Catonsville, MD 21228 | 2019-12-12 |
| 1912542812 | Tiana Green | Counselor | 606 Edmondson Ave., Catonsville, MD 21228 | 2019-11-14 |
| 1699324806 | Maryland Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 4701 Wilkens Ave, Catonsville, MD 21228 | 2019-09-10 |
| 1528613460 | Hyung Joon Kim Dds PC | Dentist | 516 N. Rolling Rd, #201, Catonsville, MD 21228 | 2019-08-07 |
| 1982109658 | William Jones | Counselor | 29 Tentmill Lane, Pikesville, MD 21228 | 2018-03-26 |
| 1740783752 | Jean Walter Infusion Center, LLC | Clinic/Center | 700 Geipe Road St. 100, Catonsville, MD 21228 | 2018-03-15 |
| 1174036578 | Ideal Telemedicine Services, LLC | Clinic/Center | 516 N Rolling Rd Ste 301, Catonsville, MD 21228 | 2017-11-08 |
| 1932627239 | Mind Over Matter Health Services, Inc. | Community/Behavioral Health | 616 Old Edmondson Ave. Ste. 4, Baltimore, MD 21228 | 2017-09-07 |
| Find all providers in zip 21228 | ||||
| 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 |
|---|---|---|---|---|
| 1285092734 | Continuum Wellness Center LLC. | Nurse Practitioner | 2 W Rolling Xrds Ste 111, Catonsville, MD 21228 | 2016-01-29 |
| 1306483631 | Thecla Ngozi Asoluka | Nurse Practitioner | 55 Wade Ave, Catonsville, MD 21228-4663 | 2019-12-05 |
| 1518440015 | Leah Berry | Nurse Practitioner | 6501 Baltimore National Pike, Catonsville, MD 21228-3923 | 2018-09-11 |
| 1629585377 | Angela Wiltse | Nurse Practitioner | 910 Frederick Rd, Catonsville, MD 21228 | 2018-01-03 |
| 1477898591 | Kristen R Mcgaha | Nurse Practitioner | 711 Maiden Choice Ln, Catonsville, MD 21228 | 2012-11-29 |
| 1134161425 | Carl Wheeler | Nurse Practitioner | 700 Geipe Rd, Suite 230, Catonsville, MD 21228-4147 | 2006-06-12 |
| 1598726655 | Nichol L O'marr | Nurse Practitioner | 516 N Rolling Rd, Suite 304, Catonsville, MD 21228-4140 | 2006-03-29 |
| 1053392373 | Tiffany D Reabold | Nurse Practitioner | 910 Frederick Rd, Catonsville, MD 21228-4516 | 2005-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558961250 | Cassandra Jordan Holmes | Nurse Practitioner | 10 Center Drive Lcim Niaid Nih, Bethesda, MD 20892-0001 | 2020-10-30 |
| 1962000679 | Laly Sorto | Nurse Practitioner | 923 S Curley St, Baltimore, MD 21224-4825 | 2020-10-14 |
| 1841897139 | Ha Le | Nurse Practitioner | 160 Ritchie Hwy, Severna Park, MD 21146-1120 | 2020-10-08 |
| 1386241685 | Audrey Roxanne Mathew | Nurse Practitioner | 546 N Frederick Ave # 1490, Gaithersburg, MD 20877-2504 | 2020-10-08 |
| 1093312209 | Shelby Bruno | Nurse Practitioner | 29 S Greene St Fl 2, Baltimore, MD 21201-1504 | 2020-10-01 |
| 1295342772 | Gilead Associates LLC | Nurse Practitioner | 206 Mulberry Ridge Ct, Pasadena, MD 21122-7514 | 2020-09-28 |
| 1659986735 | Tatyana Vladimirovna Valentin | Nurse Practitioner | 490 Cadmus Ln Ste 102, Easton, MD 21601-4091 | 2020-09-15 |
| 1205440328 | Courtney Lavon Phillip | Nurse Practitioner | 4461 Pleasant Hill Ct, Pomfret, MD 20675-3104 | 2020-09-04 |
| 1386256634 | Steven Carroll | Nurse Practitioner | 731 Crisfield Way, Annapolis, MD 21401-4576 | 2020-08-18 |
| 1346850666 | Cynthia Adwoah Mireku-baabu | Nurse Practitioner | 19241 Sharon Dr, Hagerstown, MD 21742-2433 | 2020-08-01 |
| Find all providers with the same taxonomy | ||||
| City | CATONSVILLE |
| Zip Code | 21228 |
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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.