MRS. LAURIE ANN BOSAK (NPI# 1942468640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942468640 |
| Entity Type | Individual |
| Full Name | MRS. LAURIE ANN BOSAK |
| Credential | RD |
| Practice Address |
5005 Manta Ct Waldorf MD 20603-4244 |
| Practice Telephone | 3016454641 |
| Mailing Telephone | 3016454641 |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2008-05-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | DX2417 | MD | Dietary & Nutritional Service Providers |
| Street Address |
5005 MANTA CT |
| City | WALDORF |
| State | MD |
| Zip Code | 20603-4244 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437764214 | Kelly Weaver | Nurse Practitioner | 11315 Pembroke Square, 110, Waldorf, MD 20603 | 2020-09-09 |
| 1962937839 | Alexis Nicole Smith | Specialist/Technologist | 6115 Tapir Pl, Waldorf, MD 20603 | 2017-04-27 |
| 1235585472 | Msb Counseling Services, Inc | Counselor | 1282 Smallwood Drive W, Suite 460, Waldorf, MD 20603 | 2016-05-06 |
| 1619390325 | Tara Wood | Nurse Practitioner | 3070crain Highway, Waldorf, MD 20603 | 2014-01-31 |
| 1649603424 | Lauren Ashley White | Speech-Language Pathologist | 10810 Winchester Street Apt127, Waldorf, MD 20603 | 2013-08-15 |
| 1477810067 | Johnathan Vital | Clinical Neuropsychologist | 2413 Altenburg Ct, Waldorf, MD 20603 | 2012-04-19 |
| 1831480615 | Tara Marie Adams | Physical Therapist | 11340 Pembrooke Sq Ste 211, Waldorf, MD 20603 | 2011-04-27 |
| 1891007662 | Tanuja Katta | Pharmacist | 3385 Crain High Way, Rite Aid 11197, Waldorf, MD 20603 | 2010-07-09 |
| 1962725697 | Rhonda Bumpers-bland | Occupational Therapist | 2945 Fern Hill Place, Waldorf, MD 20603 | 2010-03-09 |
| 1265672901 | Shannon L Hamm | Counselor | 6126 Gray Wolf Court, Waldorf, MD 20603 | 2009-02-20 |
| Find all providers in zip 20603 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568069557 | Huong Nguyen | Dietitian, Registered | 2262 Audrey Manor Ct, Waldorf, MD 20603-4918 | 2020-10-03 |
| 1255423067 | Deirdre Reid | Dietitian, Registered | 3021 Walnut Ln, Waldorf, MD 20601-3324 | 2006-09-29 |
| 1255961546 | Oluwakemi Adeola | Dietitian, Registered | 5193 Mudville Ln, Waldorf, MD 20602-4217 | 2020-01-25 |
| 1811083884 | Mary Sistrunk | Dietitian, Registered | 3510 Old Washington Rd, Suite #100, Waldorf, MD 20602-3233 | 2006-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922609791 | Emily Chapman | Dietitian, Registered | 8901 Rockville Pike Rm 348, Bethesda, MD 20889-0001 | 2020-11-06 |
| 1629679436 | Anna Carey Smith | Dietitian, Registered | 8901 Rockville Pike Rm 3103, Bethesda, MD 20889-0001 | 2020-11-06 |
| 1124629761 | Chantelle A Raines | Dietitian, Registered | 4560 Crain Hwy Ste 1, White Plains, MD 20695-3084 | 2020-11-02 |
| 1295336881 | Luminita Alina Bota | Dietitian, Registered | 4560 Crain Hwy Ste 101, White Plains, MD 20695-3084 | 2020-11-02 |
| 1174123962 | Rachel Coury | Dietitian, Registered | 539 Allegheny Ave, Towson, MD 21204-4233 | 2020-10-29 |
| 1699373761 | Bailey Elizabeth Saneman | Dietitian, Registered | 2102 Wiley Rd, Jarrettsville, MD 21084-1801 | 2020-10-12 |
| 1770180176 | Nu Flora LLC | Dietitian, Registered | 10904 Gunpowder Dr, Fort Washington, MD 20744-4155 | 2020-10-08 |
| 1407453228 | Caroline Pearson Tussing | Dietitian, Registered | 11237 Greenspring Ave, Lutherville Timonium, MD 21093-3510 | 2020-10-05 |
| 1316544562 | Paige Kalyani | Dietitian, Registered | 118 E Oak Ridge Dr Ste 1100, Hagerstown, MD 21740-7793 | 2020-10-01 |
| 1265049035 | Precious Chinweotuto Nwokeleme | Dietitian, Registered | 10122 Blansford Way, Middle River, MD 21220-2502 | 2020-09-25 |
| Find all providers with the same taxonomy | ||||
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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.