MRS. JESSICA LITTLE KOVOLENKO (NPI# 1922480029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922480029 |
| Entity Type | Individual |
| Full Name | MRS. JESSICA LITTLE KOVOLENKO |
| Credential | CRNP |
| Practice Address |
4231 N Woods Trl #100 Hampstead MD 21074-3128 |
| Practice Telephone | 4103749391 |
| Mailing Telephone | 4103749391 |
| Enumeration Date | 2015-06-24 |
| Last Update Date | 2015-06-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R165634 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4231 N WOODS TRL #100 |
| City | HAMPSTEAD |
| State | MD |
| Zip Code | 21074-3128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063674174 | Greg Mark Booth | Internal Medicine | 4231 N Woods Trl, Hampstead, MD 21074-3128 | 2008-06-30 |
| 1679033088 | Kristian Brady | Nurse Practitioner | 4231 N Woods Trl, Hampstead, MD 21074-3128 | 2019-03-21 |
| 1063990448 | Myeisha Furr | Nurse Practitioner | 4231 N Woods Trl, Hampstead, MD 21074-3128 | 2018-07-30 |
| 1811398175 | Lifebridge Primary Care of North Carroll, LLC | Family Medicine | 4231 N Woods Trl, Hampstead, MD 21074-3128 | 2014-09-05 |
| 1851708473 | Kristen Mccook | Nurse Practitioner | 4231 N Woods Trl, Hampstead, MD 21074-3128 | 2014-07-15 |
| 1730420811 | Carroll Medical Group | Physician Assistant | 4231 N Woods Trl, Hampstead, MD 21074-3128 | 2013-03-14 |
| 1932456704 | Susan Harris | Nurse Practitioner | 4231 N Woods Trl, Hampstead, MD 21074-3128 | 2012-08-10 |
| 1548516529 | Lifebridge Community Physicians, Inc | Family Medicine | 4231 N Woods Trl, Hampstead, MD 21074-3128 | 2012-07-27 |
| 1710262118 | Stacie Lynn Butler | Nurse Practitioner | 4231 N Woods Trl, Hampstead, MD 21074-3128 | 2011-10-17 |
| 1205116795 | Cynthia (cindy) R Davis | Nurse Practitioner | 4231 N Woods Trl, Hampstead, MD 21074-3128 | 2011-08-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306987565 | Thomas P Kenney | Optometrist | 1631 N Main Street, Hampstead, MD 21074 | 2007-02-09 |
| 1649348798 | Resh Family Dentistry | Dentist | Box 198, 1306 N Main St, Hampstead, MD 21074 | 2006-11-30 |
| 1649344409 | Sarah Jennifer Frattali | Internal Medicine | 4231 Northwood Drive, Hampstead, MD 21074 | 2006-11-20 |
| 1538233390 | Barbara Ann Ball | Family Medicine | 4231 North Woods Trail, Hampstead, MD 21074 | 2006-11-20 |
| 1639257066 | Eugene Duston Mersinger | Dentist | 695 Hanover Road, Hampstead, MD 21074 | 2006-11-02 |
| 1720162100 | Jon Michael Breakey | Physical Therapist | 1801 Hanover Pike, Hampstead, MD 21074 | 2006-10-24 |
| 1942395322 | Kimberly Louise Locati-boucher | Occupational Therapist | 1208 Woodland Court, Hampstead, MD 21074 | 2006-10-03 |
| 1477656130 | Maryland Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2311 Hanover Pike, Hampstead, MD 21074 | 2006-09-07 |
| 1760490023 | Domingo A Rocha | Family Medicine | 4231 Northwoods Trail, Hampstead, MD 21074 | 2006-08-03 |
| 1255364584 | Weis Markets Inc | Pharmacy | 720 Hanover Pike, Hampstead, MD 21074 | 2006-07-09 |
| Find all providers in zip 21074 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760011449 | Howard Edward Rollins IIi | Nurse Practitioner | 3888 Fortress Ct, Hampstead, MD 21074-1789 | 2020-04-05 |
| 1477186567 | Kristine Nicole Mangini | Nurse Practitioner | 18676 Us Highway 17 Ste 2, Hampstead, NC 28443-4050 | 2020-02-17 |
| 1366096521 | Amber Lynn Lawrence | Nurse Practitioner | 94 Merchants Cir Ste 100, Hampstead, NC 28443-5300 | 2019-07-26 |
| 1326490954 | Mary Beth Krauss | Nurse Practitioner | 760 N Houcksville Rd, Hampstead, MD 21074-1808 | 2016-07-07 |
| 1255575551 | Phoebe Giffen Hood | Nurse Practitioner | 15449 Highway 17, Building 9, Family Care of Hampstead, Hampstead, NC 28443 | 2009-04-30 |
| 1851581565 | Amy Renea Yankolonis | Nurse Practitioner | 1005 S Main St, Suite A, Hampstead, MD 21074-2241 | 2007-07-29 |
| 1942269808 | Topsail Family Medicine and Urgent Care,pllc | Nurse Practitioner | 16747 Us Highway 17 N, Ste 114, Hampstead, NC 28443-3086 | 2006-03-20 |
| 1780680801 | Sondra Louise Mckellar | Nurse Practitioner | 16747 U.S..hwy 17 N, #114, Hampstead, NC 28443-3086 | 2005-06-23 |
| 1679033088 | Kristian Brady | Nurse Practitioner | 4231 N Woods Trl, Hampstead, MD 21074-3128 | 2019-03-21 |
| 1063990448 | Myeisha Furr | Nurse Practitioner | 4231 N Woods Trl, Hampstead, MD 21074-3128 | 2018-07-30 |
| Find all providers in HAMPSTEAD | ||||
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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.