MRS. DOMINIQUE BOULDIN (NPI# 1023590452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023590452 |
Entity Type | Individual |
Full Name | MRS. DOMINIQUE BOULDIN |
Practice Address |
11136 Saint Christopher Drive White Plains MD 20695 |
Mailing Address |
11501 Highland Farm Ct La Plata MD 20646-3301 |
Practice Telephone | 2407188595 |
Mailing Telephone | 2407188595 |
Enumeration Date | 2018-09-01 |
Last Update Date | 2020-06-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 172A00000X | Driver | Other Service Providers |
Street Address |
11136 SAINT CHRISTOPHER DRIVE |
City | WHITE PLAINS |
State | MD |
Zip Code | 20695 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366928665 | Wooten Lyons LLC | Psychiatry & Neurology | 10665 Stanhaven Place, Suite 300a, White Plains, MD 20695 | 2018-07-19 |
1962914507 | Kids By The Bay Dental LLC | Clinic/Center | 5010 Regency Place Ste 102, White Plains, MD 20695 | 2017-11-03 |
1528592896 | Darlena Austin | Social Worker | 5310 Exeter Place, White Plains, MD 20695 | 2017-04-13 |
1609307040 | Phylicia Wooten | Counselor | 5510 Regency Place Suite 203, White Plains, MD 20695 | 2017-03-27 |
1760856488 | Stephanie W Allen | Physical Therapist | Ospt South Office 4470 Regency Place, Suite #100, White Plains, MD 20695 | 2015-11-18 |
1457743122 | Raven Gray | Physical Therapy Assistant | 10708 Esprit Place, White Plains, MD 20695 | 2015-03-04 |
1043629850 | Adenike Kupolati | Pharmacist | 4220 Altamont Place, White Plains, MD 20695 | 2014-08-06 |
1942532064 | Divine Intervention Community Support Services | Community/Behavioral Health | 7727 Chesterfied Ct., White Plains, MD 20695 | 2010-02-01 |
1740517895 | Optionet Support Service | Community/Behavioral Health | 7727 Chesterfield Court, White Plains, MD 20695 | 2009-11-11 |
1356571996 | Amanda M Sheehan | Physical Therapist | 4470 Regency Place, Suite 100, White Plains, MD 20695 | 2009-07-16 |
Find all providers in zip 20695 |
Taxonomy Code | 172A00000X |
Grouping | Other Service Providers |
Classification | Driver |
A person employed to operate a motor vehicle as a carrier of persons or property. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386255917 | Kenneth Merritt | Driver | 10040 Whittle Ct, White Plains, MD 20695-4233 | 2020-08-17 |
1063933471 | Crystal Wynn | Driver | 7445 Robinson Ferry Rd, White Plains, VA 23893-2101 | 2017-07-06 |
1366979346 | Kevin Callaham | Driver | 90 Manhattan Ave, White Plains, NY 10603-2734 | 2017-05-22 |
1043680309 | Victor Hernandez | Driver | 235 S Lexington Ave Apt 5k, White Plains, NY 10606-2527 | 2015-09-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225644586 | Madinatu Deen | Driver | 8531a Greenbelt Rd Apt 102, Greenbelt, MD 20770-2323 | 2020-09-21 |
1740893338 | Dana Yvetta Martin | Driver | 14256 Arbor Forest Dr, Rockville, MD 20850-7477 | 2020-08-25 |
1184249633 | Breona Chanel Washington | Driver | 6974 Walker Mill Rd Apt A1, Capitol Heights, MD 20743 | 2020-06-10 |
1386287738 | Menbere Asmare | Driver | 5025 Clifford Rd, Perry Hall, MD 21128-9113 | 2019-10-17 |
1043872310 | Josephine Edet | Driver | 8401 Snowden Loop Ct, Laurel, MD 20708 | 2019-07-07 |
1790341717 | Regina G Cherry | Driver | 4514 Bridle Ridge Rd, Upper Marlboro, MD 20772-8154 | 2019-05-15 |
1750844940 | Clifton Waters | Driver | 206 Davis St, Salisbury, MD 21804 | 2019-04-13 |
1801366679 | Saved Access LLC | Driver | 8604 Holly Pond Pl, Gaithersburg, MD 20886-4941 | 2018-12-05 |
1770053183 | Ibis Community Services LLC | Driver | 1738 Elton Rd Ste 200b, Silver Spring, MD 20903-1725 | 2018-11-28 |
1568931905 | Adedeji Charles Olagunju | Driver | 415 70th Street, Capitol Heights, MD 20743 | 2018-11-15 |
Find all providers with the same taxonomy |
City | WHITE PLAINS |
Zip Code | 20695 |
Please comment or provide details below to improve the information on MRS. DOMINIQUE BOULDIN.
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.