MS. KASSANDRA A DICKENS (NPI# 1871890301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871890301 |
| Entity Type | Individual |
| Full Name | MS. KASSANDRA A DICKENS |
| Credential | CRNP |
| Practice Address |
1701 Twin Springs Rd Halethorpe MD 21227-3553 |
| Practice Telephone | 4107375744 |
| Practice Fax Number | 4107375002 |
| Mailing Telephone | 4107375744 |
| Mailing Fax Number | 4107375002 |
| Enumeration Date | 2011-02-18 |
| Last Update Date | 2014-06-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R163196 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | AETNA HMO | 6602616 | 01 |
| MD | 553221300 | 05 | |
| MD | RAILROAD MEDICARE | P00936839 | 01 |
| MD | AETNA PPO | 9115660 | 01 |
| MD | CAREFIRST BCBS OF MD | 97285701 | 01 |
| MD | CAREFIRST BCBS BLUECHOICE | 0114 | 01 |
| MD | EHP/PRIORITY PARTNERS | 246893 | 01 |
| Street Address |
1701 TWIN SPRINGS RD |
| City | HALETHORPE |
| State | MD |
| Zip Code | 21227-3553 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629068903 | Ifeoluwa Y Omitowoju | Pediatrics | 1701 Twin Springs Rd, Kaiser Permanente South Baltimore County Hub, Halethorpe, MD 21227-3553 | 2005-10-26 |
| 1689212771 | Kaiser Foundation Health Plan of The Mid-atlantic States, Inc. | Clinic/Center | 1701 Twin Springs Rd, Halethorpe, MD 21227-3553 | 2019-12-19 |
| 1891345674 | Jennifer Fullem | Family Medicine | 1701 Twin Springs Rd, Halethorpe, MD 21227-3553 | 2019-09-13 |
| 1295397305 | Abolanle Busirat Ahmed-orepitan | Family Medicine | 1701 Twin Springs Rd, Halethorpe, MD 21227-3553 | 2019-06-28 |
| 1730743071 | Richard Saunders | Specialist/Technologist, Other | 1701 Twin Springs Rd, Halethorpe, MD 21227-3553 | 2019-04-23 |
| 1245706092 | Thomas Closson | Pharmacist | 1701 Twin Springs Rd, Halethorpe, MD 21227-3553 | 2018-10-19 |
| 1134607765 | Christopher John Miller | Pharmacist | 1701 Twin Springs Rd, Halethorpe, MD 21227-3553 | 2018-08-06 |
| 1053899708 | Kathryn Mundi | Pharmacist | 1701 Twin Springs Rd, Halethorpe, MD 21227-3553 | 2018-08-04 |
| 1174039044 | Antoinette Gupta | Specialist/Technologist, Other | 1701 Twin Springs Rd, Halethorpe, MD 21227-3553 | 2017-12-14 |
| 1568971968 | Andrew Chi | Pharmacist | 1701 Twin Springs Rd, Halethorpe, MD 21227-3553 | 2017-09-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528622024 | Kim Conaway | Counselor | Regenerations Counseling Services, 1421 S. Canton Street, Baltimore, MD 21227 | 2019-04-30 |
| 1861974891 | Joan Lynn Indilisano | Occupational Therapist | 3320 Benson Avenue, Baltimore, MD 21227 | 2018-09-06 |
| 1821593161 | Institute for Dermatopathology, Inc. | Clinical Medical Laboratory | 1901 Sulphur Spring Rd Ste A, Baltimore, MD 21227 | 2018-03-28 |
| 1447779699 | Aja Williams | Registered Nurse | 3902 Annapolis Rd., Halethorpe, MD 21227 | 2017-09-19 |
| 1588190748 | Mentor-maryland | Community/Behavioral Health | 1540 Caton Center Drive, Halethorpe, MD 21227 | 2017-05-10 |
| 1083084180 | Institute for Family Centered Services | Community/Behavioral Health | 1540 Caton Centered Drive, Suite F, Baltimore, MD 21227 | 2015-10-01 |
| 1174913677 | Wye Oak Clinic, Inc. | Marriage & Family Therapist | 1937 Lansdowne Rd, Halethorpe, MD 21227 | 2015-02-04 |
| 1588938237 | Ahmein Watson | Social Worker | 1504 Joh Ave Ste 120, Baltimore, MD 21227 | 2012-02-28 |
| 1336442656 | Norah Orise Osian | Pharmacist | Rite Aid Pharmacy, 1400 Sulphur Spring Rd, Baltimore, MD 21227 | 2010-12-08 |
| 1366759623 | Een J Lee | Pharmacist | 1400 Sulphurspring Rd, Baltimore, MD 21227 | 2010-09-08 |
| Find all providers in zip 21227 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730318 | My Clinical Coordinator LLC | Nurse Practitioner | 11720 Belsville Drive, Suite 500-a44, Beltsville, MD 20705 | 2020-11-04 |
| 1639779432 | Daniel A Mesfin | Nurse Practitioner | 14528 Fairdale Rd, Silver Spring, MD 20905-6526 | 2020-10-30 |
| 1043810849 | Olushola Taiwo Adekoya | Nurse Practitioner | 6909 Crossfield Ct, Clarksville, MD 21029-1749 | 2020-10-29 |
| 1598365082 | Chibuzor Susan Igolo | Nurse Practitioner | 4494 N Palmer Rd N, Bethesda, MD 20814 | 2020-10-26 |
| 1013516640 | Heather Mekins | Nurse Practitioner | 721 Bridge Dr, Pasadena, MD 21122-4553 | 2020-10-24 |
| 1962001818 | Shannon Nicole Martin | Nurse Practitioner | 924 Seton Dr # C, Cumberland, MD 21502-1851 | 2020-10-21 |
| 1336748672 | Taneka Lee | Nurse Practitioner | 5415 Force Rd, Baltimore, MD 21206-4617 | 2020-10-19 |
| 1811596281 | Winners Healthcare Services LLC | Nurse Practitioner | 1529 Winfields Ln, Gambrills, MD 21054-1127 | 2020-10-18 |
| 1518565324 | Kanisha Tonya Aaron | Nurse Practitioner | 9401 Groveton Cir Apt 311, Owings Mills, MD 21117-8299 | 2020-10-14 |
| 1891393765 | Winsome Boykin | Nurse Practitioner | 7231 Parkway Dr, Hanover, MD 21076-1788 | 2020-10-13 |
| Find all providers with the same taxonomy | ||||
| City | HALETHORPE |
| Zip Code | 21227 |
Please comment or provide details below to improve the information on MS. KASSANDRA A DICKENS.
| 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.