DOMONIQUE MATTHEWS (NPI# 1881131308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1881131308 |
Entity Type | Individual |
Full Name | DOMONIQUE MATTHEWS |
Credential | FNP-C, CRNP |
Practice Address |
1515 W. North Ave 1st Floor Baltimore MD 21217 |
Practice Telephone | 4103960186 |
Practice Fax Number | 4105451540 |
Mailing Telephone | 4103960186 |
Mailing Fax Number | 4105451540 |
Enumeration Date | 2017-01-23 |
Last Update Date | 2019-08-14 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163W00000X | Registered Nurse | R193190 | MD | Nursing Service Providers |
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R193190 | MD | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1515 W. NORTH AVE 1ST FLOOR |
City | BALTIMORE |
State | MD |
Zip Code | 21217 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962979500 | Jia K Allen | Pharmacist | 2509-2523 Pennsylvania Ave, Baltimore, MD 21217 | 2018-11-01 |
1982186102 | Family First Home Care LLC | In Home Supportive Care | 1645 N Calhoun St Apt 205, Baltimore, MD 21217 | 2018-09-04 |
1821598616 | Organizational Pathways, LLC | Counselor | 2306 Mount Royal Ter Apt 1a, Baltimore, MD 21217 | 2018-02-18 |
1992121982 | Dorren Rennes | Counselor | 2350 Eutaw Place, Baltimore, MD 21217 | 2014-03-14 |
1437498615 | Care One Pharmacy Ltc/specialty Pharmacy | Pharmacy | 2277-2279 Reisterstown Road, Baltimore, MD 21217 | 2013-02-07 |
1790023448 | Adeola Titilayo Adefioye | Registered Nurse | 922-924 W. North Avenue, Total Health Care - True Health, Baltimore, MD 21217 | 2013-01-30 |
1912274150 | Total Health Care Inc. | Community/Behavioral Health | 5101 Division Street, Baltimore, MD 21217 | 2011-11-16 |
1386816395 | Kennedy Krieger Education and Communication | Social Worker | 1311 N. Gilmor St., Gilmore School, Baltimore, MD 21217 | 2008-03-31 |
1740452762 | Kennedy Krieger Education and Communication | Social Worker | 1200 Pennsylvania Ave., Furman L. Templeton, Baltimore, MD 21217 | 2008-03-31 |
1679768600 | Jere Bart Stern | Pathology | 1319 Park Ave, Baltimore, MD 21217 | 2007-09-12 |
Find all providers in zip 21217 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336748672 | Taneka Lee | Nurse Practitioner | 5415 Force Rd, Baltimore, MD 21206-4617 | 2020-10-19 |
1750996930 | Ashley Tyisha Sydnor | Nurse Practitioner | 2202 Park Ave Unit 302, Baltimore, MD 21217-4868 | 2020-09-14 |
1750992293 | Samantha Rodriguez | Nurse Practitioner | 3989 Boston St, Baltimore, MD 21224-5759 | 2020-08-10 |
1265040380 | Pathway To Wellness Healthcare Center | Nurse Practitioner | 6507 Baltimore Ave, Baltimore, MD 21222-4002 | 2020-07-14 |
1679107916 | Ugochi Ebiye | Nurse Practitioner | 6 Millwheel Ct, Baltimore, MD 21236-2548 | 2020-02-25 |
1417580168 | Tiwalola Olabisi Akinsade | Nurse Practitioner | 1496 Reisterstown Rd Ste 220, Baltimore, MD 21208-3819 | 2020-02-20 |
1457996688 | Lashawn S Scott | Nurse Practitioner | 301 Saint Paul Pl Ste 409, Baltimore, MD 21202-2165 | 2019-11-12 |
1740825041 | Rosemary Lokko | Nurse Practitioner | 2431 Jefferson St, Baltimore, MD 21205-2543 | 2019-11-10 |
1881237972 | Jennifer Lillian Mothershed | Nurse Practitioner | 9101 Franklin Square Dr Ste 212, Baltimore, MD 21237-3948 | 2019-10-22 |
1376186775 | Jessica L Mcauliffe | Nurse Practitioner | 720 Rutland Ave # 1125, Baltimore, MD 21205-2109 | 2019-10-18 |
Find all providers in BALTIMORE |
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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.