JOAN CLAVIN (NPI# 1912953829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912953829 |
| Entity Type | Individual |
| Full Name | JOAN CLAVIN |
| Credential | RN, CRNP |
| Practice Address |
12020 Reisterstown Rd Reisterstown MD 21136-3041 |
| Mailing Address |
8028 Ritchie Hwy Suite 210b Pasadena MD 21122-1075 |
| Practice Telephone | 4108333801 |
| Practice Fax Number | 4106470019 |
| Mailing Telephone | 4107661995 |
| Mailing Fax Number | 4107616095 |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R047786 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891058723 | Joan M Clavin | Specialist | 15 Jefferson St, New Hyde Park, NY 11040-1911 | 2012-06-15 |
| Street Address |
12020 REISTERSTOWN RD |
| City | REISTERSTOWN |
| State | MD |
| Zip Code | 21136-3041 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699779470 | Cherrywood Limited Partnership | Skilled Nursing Facility | 12020 Reisterstown Rd, Reisterstown, MD 21136-3041 | 2005-06-09 |
| 1194206102 | Kehinde Tijani | Occupational Therapist | 12020 Reisterstown Rd, Reisterstown, MD 21136-3041 | 2018-08-27 |
| 1619331576 | Cherrywood Limited Partnership | Skilled Nursing Facility | 12020 Reisterstown Rd, Reisterstown, MD 21136-3041 | 2016-04-07 |
| 1487865424 | Loretta Jean Foster | Occupational Therapy Assistant | 12020 Reisterstown Rd, Reisterstown, MD 21136-3041 | 2007-05-24 |
| 1811922867 | Melinda-ann B. Roth | Physical Medicine & Rehabilitation | 12020 Reisterstown Rd, Reisterstown, MD 21136-3041 | 2006-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336791276 | Iyawamiwa Shittu | Counselor | 11 Chartley Drive, Reisterstown, MD 21136 | 2019-07-11 |
| 1508334517 | Amanda Britton | Speech-Language Pathologist | 12039 Reisterstown Rd., Reisterstown, MD 21136 | 2018-11-07 |
| 1366964272 | Marc Manko | Physician Assistant | 12608 Mt. Laurel Ct., Reisterstown, MD 21136 | 2017-07-12 |
| 1518325794 | Diana Jebaraj | Occupational Therapist | 15 Sunday Ct, Reisterstown, MD 21136 | 2016-02-03 |
| 1164816823 | Golda-amit Incorporated | Supports Brokerage | 11919 Tarragon Rd, Apt A, Reisterstown, MD 21136 | 2015-03-20 |
| 1073925210 | Irina Koyfman | Nurse Practitioner | 321 Chamborley Drive, Reisterstown, MD 21136 | 2014-05-22 |
| 1033462627 | Tracy Brenton | Counselor | 14450 Hanover Pike, Reisterstown, MD 21136 | 2012-10-19 |
| 1760738884 | Bonnie Lynne Haines | Massage Therapist | 141 Westminster Pike, Reisterstown, MD 21136 | 2012-07-26 |
| 1588921464 | Alexsandr Fishman | Dentist | 11710 Reisterstown Rd Ste 201, Reisterstown, MD 21136 | 2012-04-18 |
| 1992000954 | Darlene L. Reaka Israel | Nurse Practitioner | 23 Chartley Park Rd, Reisterstown, MD 21136 | 2011-01-21 |
| Find all providers in zip 21136 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467092866 | Foreman's Imperial Health, LLC | Nurse Practitioner | 11710 Reisterstown Rd Ste 207, Reisterstown, MD 21136-3363 | 2020-01-14 |
| 1538700844 | Eutierria Healthcare Services, LLC | Nurse Practitioner | 203 Bryan Way Ste A, Reisterstown, MD 21136-5958 | 2019-10-08 |
| 1508319120 | Leah Goins | Nurse Practitioner | 906 Berrymans Ln, Reisterstown, MD 21136-6011 | 2016-07-31 |
| 1063869360 | Adedoyin Olufuwa | Nurse Practitioner | 27 Woodenbridge Ct, Reisterstown, MD 21136-3727 | 2016-05-17 |
| 1205139870 | Helen Anokhin-mogilnay | Nurse Practitioner | 203 Bryan Way, Ste A, Reisterstown, MD 21136-5958 | 2010-12-21 |
| 1023517018 | Ruth Malka Ifrah | Nurse Practitioner | 12035 Reisterstown Rd, Reisterstown, MD 21136-3042 | 2018-02-06 |
| 1346637394 | Linda Ngameduru | Nurse Practitioner | 11917 Reisterstown Rd, Reisterstown, MD 21136-3030 | 2015-04-16 |
| 1477958296 | Sandra Baah Nyarko | Nurse Practitioner | 11917 Reisterstown Rd, Reisterstown, MD 21136-3030 | 2014-10-23 |
| 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 | REISTERSTOWN |
| Zip Code | 21136 |
Please comment or provide details below to improve the information on JOAN CLAVIN.
| 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.