DR. MARIE A. BRANTLEY (NPI# 1962600981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962600981 |
| Entity Type | Individual |
| Full Name | DR. MARIE A. BRANTLEY |
| Credential | RNCS |
| Practice Address |
14435 Cherry Lane Ct Suite 206 Laurel MD 20707-4959 |
| Mailing Address |
10415 Gatewood Ter Silver Spring MD 20903-1509 |
| Practice Telephone | 3013620090 |
| Practice Fax Number | 3013620092 |
| Mailing Telephone | 3014451113 |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2007-07-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
RO78140 | MD | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326060591 | Marie Sharnel Brantley | Licensed Practical Nurse | 1826 Veterans Blvd, Dublin, GA 31021-3620 | 2006-07-24 |
| Street Address |
14435 CHERRY LANE CT SUITE 206 |
| City | LAUREL |
| State | MD |
| Zip Code | 20707-4959 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336226620 | Stephanie E Sabol | Physical Therapist | 14435 Cherry Lane Ct, Suite 100, Laurel, MD 20707-4959 | 2006-11-01 |
| 1770946758 | Mathias Boddicker IIi | Physical Therapist | 14435 Cherry Lane Ct, Suite Number 100, Laurel, MD 20707-4959 | 2016-03-29 |
| 1265809263 | Maximum Performance Physical Therapy, Inc. | Clinic/Center | 14435 Cherry Lane Ct, Laurel, MD 20707-4959 | 2015-08-25 |
| 1811242415 | Michael Hunter Kime | Physical Therapist | 14435 Cherry Lane Ct, Suite 100, Laurel, MD 20707-4959 | 2012-07-19 |
| 1124272836 | Matthew B Greene | Physical Therapist | 14435 Cherry Lane Ct, Suite 100, Laurel, MD 20707-4959 | 2008-11-07 |
| 1891958286 | Tivell Byrd | Physical Therapist | 14435 Cherry Lane Ct, Laurel, MD 20707-4959 | 2008-07-07 |
| 1740485143 | Tateioms, LLC | Clinic/Center | 14435 Cherry Lane Ct, Suite 206, Laurel, MD 20707-4959 | 2007-06-18 |
| 1669676565 | Tateioms, LLC | Clinic/Center | 14435 Cherry Lane Ct, Suite 206, Laurel, MD 20707-4959 | 2007-06-13 |
| 1861600868 | Maximum Performance Physical Therapy, Inc | Physical Therapist | 14435 Cherry Lane Ct, Suite 100, Laurel, MD 20707-4959 | 2007-05-21 |
| 1821175365 | Thomas William Yates | Physical Therapist | 14435 Cherry Lane Ct, Suite 100, Laurel, MD 20707-4959 | 2006-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376157156 | Mini'imah Wilson | Social Worker | 15041 Cherrywood Dr, Laurel, MD 20707 | 2020-08-31 |
| 1548893985 | Ernest Freeman | Clinic/Center | 367 Main St., Laurel, Laurel, MD 20707 | 2020-02-13 |
| 1538701859 | Family Health and Wellness Clinic LLC | Clinic/Center | 324 Main St. #523, Laurel, MD 20707 | 2019-10-09 |
| 1467018226 | Leena Daniel | Nurse Practitioner | 13 C Street, Suite D, Laurel, MD 20707 | 2019-05-16 |
| 1538723143 | Florence Okojie | Nurse Practitioner | 13 C St Ste G, Laurel, MD 20707 | 2019-04-29 |
| 1487148631 | Munsha Sidhu Chadha | Dentist | 595 Main St Ste 237, Laurel, MD 20707 | 2018-06-20 |
| 1568953370 | Carleen Graham Schwimmer | Clinical Neuropsychologist | Veterans Affairs War Related Illness & Injury (wriisc), 50 Irving Street Nw, Washington, MD 20707 | 2018-05-29 |
| 1043709637 | Bk Behavioral Health Center | Behavior Technician | 14300 Cherry Lane Ct Ste 202-203, Laurel, MD 20707 | 2018-05-09 |
| 1053800839 | Bk Behaviorial Health Center | Substance Abuse Rehabilitation Facility | 14300 Cherry Lane Court, Suite 202-203, Laurel, MD 20707 | 2018-05-07 |
| 1316435795 | Laurel Pharmacy II LLC | Pharmacy | 14402 Baltimore Ave, Laurel, MD 20707 | 2018-05-01 |
| Find all providers in zip 20707 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972670479 | Janice M Mccandless Bruce | Registered Nurse | 11023 Joe Warrington Dr, Laurel, DE 19956 | 2006-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477169936 | Mutiat O. Popoola | Registered Nurse | 15518 Kennett Square Way, Brandywine, MD 20613-6239 | 2020-09-21 |
| 1740805613 | Nwamaka F Ezike | Registered Nurse | 913 Lake Shore Dr, Bowie, MD 20721-2902 | 2020-06-16 |
| 1578185369 | Marion Johnson | Registered Nurse | 9633 Clocktower Ln, Columbia, MD 21046-1877 | 2020-05-14 |
| 1245868009 | Shantiah Shanee Norfleet | Registered Nurse | 7681 Colonial Beach Rd, Pasadena, MD 21122-3206 | 2020-03-28 |
| 1710514542 | Gladys Mbah Nebafu | Registered Nurse | 6100 Glenn Dale Rd, Glenn Dale, MD 20769-9211 | 2020-03-23 |
| 1679107478 | Ellen Dieujuste | Registered Nurse | 3719 34th St, Mount Rainier, MD 20712-2149 | 2020-03-02 |
| 1194364588 | Cynthia Ekwutife | Registered Nurse | 2504 Highcrest Ct, Manchester, MD 21102-1413 | 2020-01-02 |
| 1770128712 | Keith J Reilley | Registered Nurse | 101 W Read St Unit B03, Baltimore, MD 21201-4906 | 2019-11-13 |
| 1497390702 | Revision Wellness, LLC | Registered Nurse | 103 Williamsport Cir Ste A, Salisbury, MD 21804-6472 | 2019-11-11 |
| 1396390167 | Linh Van Register | Registered Nurse | 5223 Ilchester Rd, Ellicott City, MD 21043-7041 | 2019-08-07 |
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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.