BERN SIMO MUKAM


Address: 1100 Alabama Ave Se, Washington, DC 20032-4542
Phone: 2022995505

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).

Provider Overview

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

Taxonomy

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

Provider Secondary Practice Location

Address Telephone Number Fax Number
4407 Saddle River Dr, Bowie, MD 207203440 2022995505

Office Location

Street Address 1100 ALABAMA AVE SE
City WASHINGTON
State DC
Zip Code 20032-4542

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City WASHINGTON
Zip Code 20032

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Dataset Information

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.

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