PHILOMENA NUFUNKUEN KELI (NPI# 1013536960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013536960 |
| Entity Type | Individual |
| Full Name | PHILOMENA NUFUNKUEN KELI |
| Credential | FNP |
| Practice Address |
15012 Saddle Creek Dr Burtonsville MD 20866-2211 |
| Practice Telephone | 3012735731 |
| Mailing Telephone | 3012735731 |
| Enumeration Date | 2020-04-10 |
| Last Update Date | 2020-04-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
R193082 | MD | Ambulatory Health Care Facilities |
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
R193082 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
15012 SADDLE CREEK DR |
| City | BURTONSVILLE |
| State | MD |
| Zip Code | 20866-2211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194356717 | Kristin Sagun | Psychologist | 3901 National Drive, Suite #100, Burtonsville, MD 20866 | 2020-02-02 |
| 1093299208 | Jennifer L Wood | Doula | 4301 Ambrose Ct, Burtonsville, MD 20866 | 2018-09-24 |
| 1770092363 | Carolina Mattos | Behavior Technician | 4402 Meanderwood Dr, Burtonsville, MD 20866 | 2017-09-26 |
| 1942728233 | Peggy Sue Bruce | Behavior Technician | 4401 Bender Court, Burtonsville, MD 20866 | 2017-09-06 |
| 1376919902 | Ovetta Lorraine Harris | Speech-Language Pathologist | 14705 Perrywood Drive, Burtonsville, MD 20866 | 2015-08-18 |
| 1639552540 | Theresia Ajenanyi Atechong | Home Health Aide | 13518 Greencastle Ridge Ter Apt 402, Burtonsville, MD 20866 | 2015-07-09 |
| 1720405111 | Benedict Obi | Registered Nurse | 4301 Sgar Pine Ct, Burtonsville, MD 20866 | 2014-03-24 |
| 1023430337 | Etienne Dimbeck | Home Health Aide | 3671 Autumn Glenn Circle, Boturnsville, MD 20866 | 2014-01-07 |
| 1295089001 | Lifetime Dental Care of Maryland, Badger, P.C. | Dentist | 15648 Old Columbia Pike, Burtonsville, MD 20866 | 2012-10-31 |
| 1538412515 | Dorothy Kembong Taylor | Home Health Aide | 43 Scarlet Sage Court, Burtonsville, MD 20866 | 2012-10-16 |
| Find all providers in zip 20866 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275134934 | Healthy Option Clinic, LLC | Nurse Practitioner | 101 Egypt Farms Rd, Owings Mills, MD 21117-5043 | 2020-11-07 |
| 1598364192 | Folasade O Onasanya | Nurse Practitioner | 3312 Croydon Rd, Baltimore, MD 21207-4543 | 2020-10-23 |
| 1407460421 | Nkechi Okeh | Nurse Practitioner | 9603 Glenkirk Way, Bowie, MD 20721-2998 | 2020-09-08 |
| 1780298588 | Andreli Professional Advising and Resources, LLC | Nurse Practitioner | 9730 Morningview Cir, Perry Hall, MD 21128-9024 | 2020-08-31 |
| 1194336941 | Phoebe Vuwansi Chongong | Nurse Practitioner | 10300 Crystal Brook Ct, Upper Marlboro, MD 20772-6687 | 2020-08-14 |
| 1306457122 | Trusted and Innovative Inc | Nurse Practitioner | 4600 Powder Mill Rd Ste 450, Beltsville, MD 20705-2686 | 2020-08-14 |
| 1225653611 | Zynith Health Care & Associates | Nurse Practitioner | 4061 Powder Mill Rd Ste 101, Beltsville, MD 20705-3156 | 2020-06-11 |
| 1124640974 | Liberty Family Care | Nurse Practitioner | 8515 Liberty Rd Ste B, Randallstown, MD 21133-4832 | 2020-05-15 |
| 1437785706 | Hajia M Nagaiya | Nurse Practitioner | 3525 Courtleigh Dr, Baltimore, MD 21244-2205 | 2020-03-19 |
| 1578195475 | Baltimore Healthcare At Home, LLC | Nurse Practitioner | 9501 Branchleigh Rd, Randallstown, MD 21133-2056 | 2020-02-07 |
| Find all providers with the same taxonomy | ||||
| City | BURTONSVILLE |
| Zip Code | 20866 |
Please comment or provide details below to improve the information on PHILOMENA NUFUNKUEN KELI.
| 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.