INGRID HALVORSON (NPI# 1013336114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013336114 |
| Entity Type | Individual |
| Full Name | INGRID HALVORSON |
| Practice Address |
1562 Opossumtown Pike Frederick MD 21702 |
| Mailing Address |
Po Box 37086 Baltimore MD 21297-3086 |
| Practice Telephone | 3016628477 |
| Mailing Telephone | 2403441106 |
| Enumeration Date | 2014-04-16 |
| Last Update Date | 2019-05-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
R175046 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 401 North Broadway, Baltimore, MD 21231 | 4105028010 |
| Street Address |
1562 OPOSSUMTOWN PIKE |
| City | FREDERICK |
| State | MD |
| Zip Code | 21702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982600771 | Frederick Health Hospital Inc | Neuromusculoskeletal Medicine & OMM | 1562 Opossumtown Pike, Frederick, MD 21702-4337 | 2005-06-27 |
| 1508428103 | Constance Maria Derosa | Nurse Practitioner | 1562 Opossumtown Pike, Frederick, MD 21702-4920 | 2019-07-03 |
| 1659899979 | Frederick Health Medical Group LLC | Clinic/Center | 1562 Opossumtown Pike, Frederick, MD 21702-4337 | 2017-09-07 |
| 1548641483 | Jeanette M Brennan | Occupational Therapist | 1562 Opossumtown Pike, Frederick, MD 21702-4337 | 2015-06-16 |
| 1497142913 | Catherine Anne Bender | Speech-Language Pathologist | 1562 Opossumtown Pike, Frederick, MD 21702-4337 | 2015-04-22 |
| 1134537467 | Leslie Crawford | Occupational Therapist | 1562 Opossumtown Pike, Frederick, MD 21702-4337 | 2014-07-30 |
| 1730597519 | Amanda K. Dean | Speech-Language Pathologist | 1562 Opossumtown Pike, Frederick, MD 21702-4337 | 2014-07-24 |
| 1922434067 | Frederick Memorial Hospital Inc | Clinic/Center | 1562 Opossumtown Pike, Frederick, MD 21702-4337 | 2013-09-20 |
| 1891134466 | Natalia Marina | Internal Medicine | 1562 Opossumtown Pike, Frederick, MD 21702-4337 | 2013-06-17 |
| 1386082881 | Atrish Akhtar | Internal Medicine | 1562 Opossumtown Pike, Frederick, MD 21702-4337 | 2013-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073129714 | Rita Akowuah | Nurse Practitioner | 1302 Baker Place East Apt 14, Frederick, MD 21702 | 2020-09-18 |
| 1912416272 | Morgan Nicely | Behavior Technician | 65 Thomas Johnson Drive Suite A, Frederick, MD 21702 | 2017-09-29 |
| 1154840494 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 184 Thomas Johnson Dr Ste 104, Frederick, MD 21702 | 2017-09-19 |
| 1831617471 | Hazel Elizabeth Gill | Physical Therapy Assistant | 2007 Butterfield Overlook, Frederick, MD 21702 | 2017-09-05 |
| 1831610161 | William Haynes | Nurse Practitioner | 103 Water Land Ct., Frederick, MD 21702 | 2017-06-27 |
| 1497299333 | Timothy Stimach | Pharmacist | 1430b W Patrick St, Frederick, MD 21702 | 2016-12-12 |
| 1184167405 | Maryland Nutrition and Diet Services, L.L.C. | Dietitian, Registered | 1301 W. 7th Street, No. 1607, Frederick, MD 21702 | 2016-11-18 |
| 1649649468 | Oluwakemi Olubunmi Osidele | Nurse Practitioner | 188 Thomas Johnson Dr Ste 102, Frederick, MD 21702 | 2015-09-22 |
| 1841678562 | Ventzislava Hristova | Spec/Tech, Pathology | 1050 Boyles St. Building 560 Room 12-39, National Cancer Institute - Frederick, Frederick, MD 21702 | 2015-05-14 |
| 1023404571 | Mychal Lynn Pilia | Advanced Practice Midwife | 7420 Hayward Road, Suite 104, Frederick, MD 21702 | 2015-04-11 |
| Find all providers in zip 21702 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891307575 | Aparna Cynthia Nallala Anil | Nurse Practitioner | 75 Thomas Johnson Dr Ste I, Frederick, MD 21702-4895 | 2020-08-23 |
| 1063917938 | Kristin Deely | Nurse Practitioner | 400 West 7th Street, Cardiac Cath Lab 2nd Floor, Frederick, MD 21701 | 2018-03-24 |
| 1730424227 | Jill M. Kleiner | Nurse Practitioner | 490 Prospect Blvd Ste L, Frederick, MD 21701-6430 | 2012-12-10 |
| 1891330908 | Heather Ashley Hayes | Nurse Practitioner | 400 W 7th St, Frederick, MD 21701-4506 | 2019-11-12 |
| 1992265656 | Melanie Faith Ondrejko | Nurse Practitioner | 501 W 7th St, Frederick, MD 21701 | 2019-03-20 |
| 1245730811 | Christopher Lee Hillman | Nurse Practitioner | 400 W 7th St, Frederick, MD 21701-4506 | 2018-02-20 |
| 1336662097 | Susan Marie Carl | Nurse Practitioner | 400 W 7th St, Frederick, MD 21701-4506 | 2017-07-24 |
| 1225412224 | Lindsey Brooke Black | Nurse Practitioner | 400 W Seventh St, Frederick, MD 21701-4506 | 2015-07-20 |
| 1457778672 | Margaret Ramkissoon | Nurse Practitioner | 400 W 7th St, Frederick, MD 21701-4506 | 2014-03-26 |
| 1598197204 | Amanda Christine Yinger | Nurse Practitioner | 400 W Seventh St, Frederick, MD 21701-4506 | 2013-08-05 |
| Find all providers in FREDERICK | ||||
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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.