MRS. DOMINIQUE BOULDIN


Address: 11136 Saint Christopher Drive, White Plains, MD 20695
Phone: 2407188595

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 172A00000X Driver Other Service Providers

Office Location

Street Address 11136 SAINT CHRISTOPHER DRIVE
City WHITE PLAINS
State MD
Zip Code 20695

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 172A00000X
Grouping Other Service Providers
Classification Driver

Taxonomy Definition

A person employed to operate a motor vehicle as a carrier of persons or property.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City WHITE PLAINS
Zip Code 20695

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Dataset Information

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.

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