MRS. KIM MARIE REDFEARN (NPI# 1861982936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861982936 |
| Entity Type | Individual |
| Full Name | MRS. KIM MARIE REDFEARN |
| Credential | CRNP |
| Practice Address |
18415 Garner Ln Accokeek MD 20607-3228 |
| Practice Telephone | 2026791546 |
| Mailing Telephone | 2026791546 |
| Enumeration Date | 2018-05-15 |
| Last Update Date | 2018-05-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
R160299 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
18415 GARNER LN |
| City | ACCOKEEK |
| State | MD |
| Zip Code | 20607-3228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376061978 | Teresa Whigham | Occupational Therapist | 2206 Green Ginger Circle, Accokeek, MD 20607 | 2017-09-03 |
| 1538610373 | Kanita Hughes | Assisted Living Facility | 13809 Dr Edelen Dr, Accokeek, MD 20607 | 2016-10-17 |
| 1760807986 | Tayler Swilling | Social Worker | 18700 Rodney Ct, Accokeek, MD 20607 | 2014-02-25 |
| 1902134828 | Anita Brock | Physician Assistant | 207 Farmington Road West, Accokeek, MD 20607 | 2009-12-04 |
| 1548320765 | Almighty Time Investments Inc | Non-emergency Medical Transport (VAN) | 104 Mattawoman Way, Accokeek, MD 20607 | 2006-12-11 |
| 1356449334 | The Healthcare Agency Corp | Case Management | 2301 Green Ginger Cir., Accokeek, MD 20607 | 2006-09-21 |
| 1932641511 | J&d Fant Family Services | Community/Behavioral Health | 15113 S Jenkins Ct, Accokeek, MD 20607-2001 | 2016-11-14 |
| 1558867028 | Deborah Hammett | Contractor | 15502 Emily Ct, Accokeek, MD 20607-2041 | 2018-04-03 |
| 1134588635 | Sheila Kelly | Nutritionist | 15705 Henrietta Dr, Accokeek, MD 20607-2059 | 2016-02-12 |
| 1285143826 | Kimberly Cecelia Ward | Social Worker | 15854 Livingston Rd, Accokeek, MD 20607-2220 | 2017-09-27 |
| Find all providers in zip 20607 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801401328 | Fese E Bokosah | Nurse Practitioner | 2671 Ricker Pond Ct, Waldorf, MD 20603-2060 | 2020-09-11 |
| 1558975508 | Marlene Joan Margerum | Nurse Practitioner | 6052 Augustine Ave, Elkridge, MD 21075-5351 | 2020-09-06 |
| 1386258929 | Suzette Jones | Nurse Practitioner | Chesapeake Shores Nursing Home, 21412 Great Mills Road, Lexington Park, MD 20653 | 2020-09-01 |
| 1760091003 | Rachel Langley | Nurse Practitioner | 9 Cedar Chip Ct, Parkville, MD 21234-8035 | 2020-07-22 |
| 1679113054 | Clifton Dawson IIi | Nurse Practitioner | 10230 New Hampshire Ave # 340, Silver Spring, MD 20903-1400 | 2020-01-13 |
| 1750920179 | Jecinta Chinyere Ogbennah | Nurse Practitioner | 6629 Aaron Mee Way, Baltimore, MD 21237-4337 | 2020-01-02 |
| 1578114229 | Carolina Delacruz | Nurse Practitioner | 5601 Loch Raven Blvd Bldg Center, Baltimore, MD 21239-2945 | 2019-09-24 |
| 1366096034 | Tammy Fusilier | Nurse Practitioner | 3460 Old Washington Rd Ste 203a, Waldorf, MD 20602-3243 | 2019-07-30 |
| 1649839218 | Lauren Anne Flowers | Nurse Practitioner | 202 Leslie Ave, Nottingham, MD 21236-4217 | 2019-06-07 |
| 1255893061 | Irene W. Njuguna | Nurse Practitioner | 4307 Silver Spring Rd, Perry Hall, MD 21128-9656 | 2019-04-01 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MRS. KIM MARIE REDFEARN.
| 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.