BERN SIMO MUKAM (NPI# 1841811205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1841811205 |
Entity Type | Individual |
Full Name | BERN SIMO MUKAM |
Practice Address |
1100 Alabama Ave Se Washington DC 20032-4542 |
Practice Telephone | 2022995505 |
Mailing Telephone | 2022995505 |
Enumeration Date | 2020-04-27 |
Last Update Date | 2020-04-27 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
RN1006539 | DC | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
4407 Saddle River Dr, Bowie, MD 207203440 | 2022995505 |
Street Address |
1100 ALABAMA AVE SE |
City | WASHINGTON |
State | DC |
Zip Code | 20032-4542 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780857326 | Francine Schwartz | Social Worker | 1100 Alabama Ave Se, Washington, DC 20032-4540 | 2008-04-03 |
1801495270 | Ngozi Vivian Francis | Nurse Practitioner | 1100 Alabama Ave Se, Washington, DC 20032-4542 | 2020-10-18 |
1528666047 | Keri-lynn Doyle | Psychologist | 1100 Alabama Ave Se, Washington, DC 20032-4542 | 2020-10-16 |
1457971350 | Daniela Vargas Wells | Student in an Organized Health Care Education/Training Program | 1100 Alabama Ave Se, Washington, DC 20032-4542 | 2020-04-21 |
1548896020 | Obioma Ucheoma Nwaobilor | Nurse Practitioner | 1100 Alabama Ave Se, Washington, DC 20032-4542 | 2020-03-17 |
1053945618 | Chinyere Euphemia Uzoukwu | Nurse Practitioner | 1100 Alabama Ave Se, Washington, DC 20032-4542 | 2020-02-22 |
1548893126 | Salamatu Khadar | Psychiatry & Neurology | 1100 Alabama Ave Se, Washington, DC 20032-4542 | 2020-02-21 |
1518504307 | Ernest Keyaka | Nurse Practitioner | 1100 Alabama Ave Se, Washington, DC 20032-4542 | 2019-11-29 |
1841848462 | Heroldo Palomares Guzman | Student in an Organized Health Care Education/Training Program | 1100 Alabama Ave Se, Washington, DC 20032-4542 | 2019-08-27 |
1942856968 | Jonathan-jay A Cashwell | Student in an Organized Health Care Education/Training Program | 1100 Alabama Ave Se, Washington, DC 20032-4542 | 2019-08-15 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336753714 | Ebonie Hawkins | Counselor | 101 Xenia St Suite 200 Sw, Washington, DC 20032 | 2020-09-03 |
1639788938 | Richard Quinones | Technician | 4346 Livingston Rd Se, B, Washington, DC 20032 | 2020-07-23 |
1720603244 | Ankur Sah Swarnakar | Student in an Organized Health Care Education/Training Program | 1100 Alabama Ave Southeast, 2nd Floor, Suite 238, Washington, DC 20032 | 2020-06-10 |
1225659519 | Michael Thomas Moore | Counselor | 920 Belview St. Se, Washington, DC 20032 | 2020-04-28 |
1144878240 | Erika Kirkpatrick | Behavior Technician | 1218 Southern Ave Apt304 Se, Washgton Dc, DC 20032 | 2019-08-31 |
1982251351 | Agazit Asihel | Counselor | Friendship Charter School 645 Milwaukee Pl, Washington Dc, DC 20032 | 2019-08-21 |
1538715412 | Omonike Grace Adeosun | Home Health Aide | 2625 Martin Luther King Jr Ave Se, Apt 1, Washington, DC 20032 | 2019-08-15 |
1932753571 | Nadesh Mengwi Muluh | Home Health Aide | 2759 Martin Luther King Jr Avenue, Washington, DC 20032 | 2019-08-01 |
1376100115 | Kelsey Hobart | Student in an Organized Health Care Education/Training Program | Dc Dbh Seh Psych Residency 1100 Alabama Avenue, Se, Suite 238, Washington, DC 20032 | 2019-05-28 |
1407321417 | Abigail Christine Burke | Physical Therapist | 3146 Arnold Avenue Sw, Washington, DC 20032 | 2018-10-05 |
Find all providers in zip 20032 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760016398 | Agatha Ifeyinwa Nwangwu | Nurse Practitioner | 7406 9th St Nw, Washington, DC 20012-1702 | 2020-02-22 |
1477184299 | Treacy Williams | Nurse Practitioner | 851 E 5th St Ste 308, Washington, MO 63090-3130 | 2020-01-30 |
1164052692 | Gregory Anyinam Obiwuma | Nurse Practitioner | 5807 8th St Ne, Washington, DC 20011-2711 | 2020-01-23 |
1336705193 | Adebayo Ojomo | Nurse Practitioner | 5008 13th St Ne, Washington, DC 20017-2805 | 2019-05-16 |
1932667326 | Adolice Medical Services Pllc | Nurse Practitioner | 7400 7th St Nw, Washington, DC 20012-1806 | 2019-03-05 |
1902204126 | Gemma Fioritto I | Nurse Practitioner | 6566 Squirrel Rdg, Washington, MI 48094-3528 | 2014-12-22 |
1710172895 | Jyotika Devi Vazirani | Nurse Practitioner | 1213 U Street Nw, Suite 1, Washington, DC 20009 | 2007-09-11 |
1932155108 | Lorraine I Carleo | Nurse Practitioner | 4115 Wisconsin Ave Nw, Suite 107, Washington, DC 20016-2812 | 2006-05-26 |
1679174700 | Nkemdilim Okonkwo | Nurse Practitioner | 111 Michigan Ave Nw, Washington, DC 20010-2916 | 2020-11-04 |
1861091852 | Jemima Pierre-jacques | Nurse Practitioner | 1627 K St Nw Ste 400, Washington, DC 20006-1711 | 2020-10-21 |
Find all providers in WASHINGTON |
City | WASHINGTON |
Zip Code | 20032 |
Please comment or provide details below to improve the information on BERN SIMO MUKAM.
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.