COURTNEE CARROLL (NPI# 1841710746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841710746 |
| Entity Type | Individual |
| Full Name | COURTNEE CARROLL |
| Practice Address |
5612 Dundalk Dr Oxon Hill MD 20745 |
| Mailing Address |
5612 Dundalk Dr Oxon Hill MD 20745-3213 |
| Practice Telephone | 2404648338 |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2017-06-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| Street Address |
5612 DUNDALK DR |
| City | OXON HILL |
| State | MD |
| Zip Code | 20745 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568086304 | Envue Eye & Laser Center LLC | Ophthalmology | 251 Harbor Blvd, Oxon Hill, MD 20745 | 2020-06-06 |
| 1902441264 | Dean Hasan | Pharmacist | 6163 Oxon Hill Road, National Harbor, MD 20745 | 2019-11-11 |
| 1093360570 | Ebony D Mckinley | Social Worker | 6188 Oxon Hill Road Suite 500, Oxon Hill, MD 20745 | 2019-08-02 |
| 1134691579 | Lisa Mellynchuk | Occupational Therapist | 1400 Nalley Terrance, Room 16, Landover, MD 20745 | 2018-12-26 |
| 1083102438 | Prince George's County Health Department | Family Medicine | 6701 Leyte Drive, Oxon Hill, MD 20745 | 2018-05-01 |
| 1699217679 | Charity Oronos | Physical Therapist | 6981 Oxon Hill Rd, Oxon Hill, MD 20745 | 2016-11-08 |
| 1689004913 | Gerald Jerome Smith | Dentist | 5306 Wheeler Road, Oxon Hill, MD 20745 | 2013-11-22 |
| 1427487644 | Harborside Urgent Care | Clinic/Center | 215 American Way, National Harbor, MD 20745 | 2013-11-07 |
| 1417385840 | Nursing Unlimited Services, Inc | Home Health | 909 East Meadow Ct, Oxon Hill, MD 20745 | 2013-10-22 |
| 1811239668 | Martina Jefferson | Home Health Aide | 1303 Iverson Street, #101, Oxon Hill, MD 20745 | 2013-03-20 |
| Find all providers in zip 20745 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508477076 | Darryl Kim Jernigan | Technician | 1100 Owens Rd Apt 309, Oxon Hill, MD 20745-3811 | 2020-08-10 |
| 1114576915 | Montez Eugene Hawley | Technician | 5614 Helmont Dr, Oxon Hill, MD 20745-3232 | 2019-09-05 |
| 1215408638 | Justin Davon Sutton | Technician | 640 Audrey Ln Apt 102, Oxon Hill, MD 20745-4626 | 2018-12-11 |
| 1528535663 | Ada Mae Buckman | Technician | 607 Southern Ave, Oxon Hill, MD 20745-2872 | 2018-10-26 |
| 1265924054 | Cierra Adams | Technician | 1205 Southview Dr Apt 201, Oxon Hill, MD 20745-3914 | 2018-06-06 |
| 1215431796 | Tavia Kia Smith | Technician | 6606 March Dr, Oxon Hill, MD 20745-2213 | 2018-03-20 |
| 1104333236 | Antonio Harris | Technician | 5602 Helmont Dr, Oxon Hill, MD 20745-3232 | 2018-01-10 |
| 1063927382 | Shirley Wakefield | Technician | 212 N Huron Dr, Oxon Hill, MD 20745-1203 | 2017-12-08 |
| 1467967125 | Keana Lewis | Technician | 1122 Kennebec St Apt 102, Oxon Hill, MD 20745-3335 | 2017-12-04 |
| 1003338245 | Letitia Reeves | Technician | 558 Wilson Bridge Dr Apt D2, Oxon Hill, MD 20745-1875 | 2017-07-10 |
| Find all providers in OXON HILL | ||||
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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.