MR. SERGEY L ISTOMIN (NPI# 1023384963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023384963 |
| Entity Type | Individual |
| Full Name | MR. SERGEY L ISTOMIN |
| Credential | CRNP, PMHNP-BC |
| Practice Address |
6040 Southport Dr Bethesda MD 20814-1848 |
| Practice Telephone | 3014934200 |
| Mailing Telephone | 3014934200 |
| Enumeration Date | 2012-03-26 |
| Last Update Date | 2013-12-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
R208690 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
6040 SOUTHPORT DR |
| City | BETHESDA |
| State | MD |
| Zip Code | 20814-1848 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194725739 | Cornerstone Montgomery, Inc. | Clinic/Center | 6040 Southport Dr, Bethesda, MD 20814-1848 | 2005-07-26 |
| 1992343370 | Cornerstone Montgomery, Inc. | Community/Behavioral Health | 6040 Southport Dr, Bethesda, MD 20814-1848 | 2019-12-16 |
| 1922591163 | Yvonne Medina | Licensed Practical Nurse | 6040 Southport Dr, Bethesda, MD 20814-1848 | 2018-06-12 |
| 1881122034 | Jaline Gilliam | Social Worker | 6040 Southport Dr, Bethesda, MD 20814-1848 | 2017-06-01 |
| 1871044784 | Agerie Ejigu | Nurse Practitioner | 6040 Southport Dr, Bethesda, MD 20814-1848 | 2016-10-17 |
| 1619425865 | Rosa Moudene | Registered Nurse | 6040 Southport Dr, Bethesda, MD 20814-1848 | 2016-09-16 |
| 1679923833 | Alexandra Friedman | Social Worker | 6040 Southport Dr, Bethesda, MD 20814-1848 | 2016-06-20 |
| 1104276955 | Kathleen Kirk | Social Worker | 6040 Southport Dr, Bethesda, MD 20814-1848 | 2016-06-13 |
| 1609239789 | Emily Picon | Social Worker | 6040 Southport Dr, Bethesda, MD 20814-1848 | 2016-04-05 |
| 1124491543 | James Ladner | Social Worker | 6040 Southport Dr, Bethesda, MD 20814-1848 | 2015-11-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598365082 | Chibuzor Susan Igolo | Nurse Practitioner | 4494 N Palmer Rd N, Bethesda, MD 20814 | 2020-10-26 |
| 1922611797 | David Yardeni | Student in an Organized Health Care Education/Training Program | 10 Center Drive, 4-5722, Bethesda, MD 20814 | 2020-08-31 |
| 1003436619 | Global Psychotherapy Center of Bethesda | Community/Behavioral Health | 4400 East West Highway Suite C-e, Bethesda, MD 20814 | 2020-04-23 |
| 1306465737 | Jamie Marie Lewis | Nurse Practitioner | 104 Wood Drive, Bethesda, MD 20814 | 2020-04-15 |
| 1427687003 | Jon Lindefjeld | Student in an Organized Health Care Education/Training Program | Walter Reed National Military Medical Center Psychiatry, Bethesda, MD 20814 | 2020-04-06 |
| 1568002814 | Paige Lewis | Counselor | 7201 Wisconsin Ave. Suite 700, Bethesda, MD 20814 | 2020-01-14 |
| 1023657400 | Brightview Bethesda Grosvenor, LLC | Alzheimer Center (Dementia Center) | 5510 Grosvenor Lane, Bethesda, MD 20814 | 2020-01-02 |
| 1972144939 | Uzma Knouss | Marriage & Family Therapist | 4905 Del Ray Ave, Suite 508, Bethesda, MD 20814 | 2019-10-01 |
| 1962057620 | Catherine Jeffries | Speech-Language Pathologist | 7921 Lynnbrook Drive, Bethesda, MD 20814 | 2019-08-08 |
| 1992368963 | Sheryl Lynne Winans | Occupational Therapist | 8001 Lynbrook Drive, Bethesda, MD 20814 | 2019-04-16 |
| Find all providers in zip 20814 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275145468 | Francine Mefeussom Kamhoua | Nurse Practitioner | 4401 E West Hwy # 504, Bethesda, MD 20814-4523 | 2020-08-19 |
| 1851903454 | Wiseminds Center for Integrative Telepsychiatry | Nurse Practitioner | 4701 Sangamore Rd Ste N100, Bethesda, MD 20816-2558 | 2020-08-17 |
| 1801413448 | Stephine Oparaugo | Nurse Practitioner | 4901 Battery Ln Apt 3, Bethesda, MD 20814-4902 | 2020-06-30 |
| 1295208593 | Mindview Behavioral Health and Wellness | Nurse Practitioner | 6701 Democracy Blvd Ste 300, Bethesda, MD 20817-7500 | 2019-01-09 |
| 1679967889 | Sasha Tova Bergeron | Nurse Practitioner | 8030 Woodmont Ave Fl 3, Bethesda, MD 20814-3027 | 2015-03-25 |
| 1760726525 | Jae Hoon Kim | Nurse Practitioner | 7201 Wisconsin Ave Ste 450, Bethesda, MD 20814-4835 | 2012-11-19 |
| 1093025462 | Chana Rose Engel | Nurse Practitioner | 9000 Rockville Pike Nih Nimh, Bldg 10, Rm 1-3633, Bethesda, MD 20892-0001 | 2010-10-19 |
| 1518953371 | Betsy Brach | Nurse Practitioner | 8313 Fenway Rd, Bethesda, MD 20817-2734 | 2005-09-26 |
| 1033722962 | Francis Aneke | Nurse Practitioner | 10 Center Drive, Bethesda, MD 20892-0001 | 2020-08-29 |
| 1114562246 | Ebonique Katress Mcclinnahan | Nurse Practitioner | 8901 Wisconsin Ave, Bethesda, MD 20889-4701 | 2019-11-13 |
| Find all providers in BETHESDA | ||||
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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.