ILYSSA KAREN HAAR (NPI# 1033760160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033760160 |
| Entity Type | Individual |
| Full Name | ILYSSA KAREN HAAR |
| Credential | RN, IBCLC, BSN |
| Practice Address |
655 Watkins Mill Rd Gaithersburg MD 20879-3301 |
| Practice Telephone | 2406324333 |
| Mailing Telephone | 2406324333 |
| Enumeration Date | 2019-09-20 |
| Last Update Date | 2019-09-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WL0100X |
Registered Nurse Specialization: Lactation Consultant |
R209600 | MD | Nursing Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10810 Conn Ave, Kensington, MD 208952138 | 2406324333 |
| Street Address |
655 WATKINS MILL RD |
| City | GAITHERSBURG |
| State | MD |
| Zip Code | 20879-3301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629048467 | Julie May Chen | Internal Medicine | 655 Watkins Mill Rd, Gaithersburg, MD 20879-3301 | 2006-01-24 |
| 1376142315 | Helen Gebereselassie Gamada | Nurse Practitioner | 655 Watkins Mill Rd, Gaithersburg, MD 20879-3301 | 2020-10-21 |
| 1043848526 | Scott Eric Jackson | Radiologic Technologist | 655 Watkins Mill Rd, Gaithersburg, MD 20879-3301 | 2020-03-30 |
| 1972130524 | Huai En Chang | Student in an Organized Health Care Education/Training Program | 655 Watkins Mill Rd, Gaithersburg, MD 20879-3301 | 2020-03-24 |
| 1477189322 | Sushmita Malik | Student in an Organized Health Care Education/Training Program | 655 Watkins Mill Rd, Gaithersburg, MD 20879-3301 | 2020-03-22 |
| 1316573314 | Crystal Xue | Student in an Organized Health Care Education/Training Program | 655 Watkins Mill Rd, Gaithersburg, MD 20879-3301 | 2020-03-21 |
| 1144856287 | Daniel Tadeo | Student in an Organized Health Care Education/Training Program | 655 Watkins Mill Rd, Gaithersburg, MD 20879-3301 | 2020-03-20 |
| 1659902963 | Susan Marie Jagt | Radiology | 655 Watkins Mill Rd, Gaithersburg, MD 20879-3301 | 2020-01-27 |
| 1295373371 | Kaiser Foundation Health Plan of The Mid-atlantic States, Inc. | Clinic/Center | 655 Watkins Mill Rd, Gaithersburg, MD 20879-3301 | 2019-12-19 |
| 1497306971 | Claudia Priscilla Derse-anthony | Registered Nurse | 655 Watkins Mill Rd, Gaithersburg, MD 20879-3301 | 2019-09-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565688 | Mark Schulze | Behavior Technician | 20620 Prathertown Rd., Gaithersburg, MD 20879 | 2020-10-12 |
| 1497242705 | Ajena Callaway | Occupational Therapist | 354 A Christopher Avenue, Gaithersburg, MD 20879 | 2018-04-23 |
| 1952702789 | Alan Huang | Physical Therapist | 18603 Tribble Way, Gaithersburg, MD 20879 | 2014-09-11 |
| 1225452089 | Benefitcare Inc. | Home Health | 18211d Flower Hill Way, Gaithersburg, MD 20879 | 2014-02-13 |
| 1578832739 | Thomas Yoon | Dentist | 20219 Goshen Rd, Gaithersburg, MD 20879 | 2011-12-17 |
| 1962637090 | Team Care, LLC | Non-emergency Medical Transport (VAN) | 8041 Cessna Avenue, Suite 200, Gaithersburg, MD 20879 | 2009-05-19 |
| 1730327412 | Maryland Home Health, LLC | Home Health | 2 Professional Drive, Suite 241, Gaithersburg, MD 20879 | 2009-02-03 |
| 1528223740 | Behzad Mirdamadi | Dentist | 18218 Flower Hill Way, Dental Suite Habibi and Mirdamadi, D.d.s., P.a., Gaithersburg, MD 20879 | 2008-07-28 |
| 1265696322 | Nargess Mirhakkak Biparva | Dentist | 941 B Russell Ave, Gaithersburg, MD 20879 | 2008-07-17 |
| 1891818639 | Carolyn June Figard | Counselor | 933 Russess Ave., Suite D, Gaithersburg, MD 20879 | 2007-04-09 |
| Find all providers in zip 20879 | ||||
| Taxonomy Code | 163WL0100X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Lactation Consultant |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134634447 | Dionna Boston | Registered Nurse | 655 Watkins Mill Rd, Gaithersburg, MD 20879-3301 | 2017-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104424365 | Prolactin Life, LLC | Registered Nurse | 15012 Notley Rd, Silver Spring, MD 20905-7437 | 2020-10-10 |
| 1447861554 | Emily Margaret Johnson | Registered Nurse | 509 Casey Ln, Rockville, MD 20850-7744 | 2020-08-12 |
| 1770101180 | Kelly Kendall | Registered Nurse | 1782 E Regents Park Rd, Crofton, MD 21114-2530 | 2020-07-13 |
| 1841810546 | Kristan Nichole Zylka | Registered Nurse | 253 Bell Rd, Westminster, MD 21158-4107 | 2020-04-22 |
| 1174152912 | Melissa Marie Wilson | Registered Nurse | 905 Forksbridge Ct, Gambrills, MD 21054-1655 | 2020-04-03 |
| 1588209100 | Nancy Jill Kerr | Registered Nurse | 616 Laurel Dr, Pasadena, MD 21122-5225 | 2019-11-07 |
| 1245886944 | Christina Louise Bernard | Registered Nurse | 777 Oakwilde Way, Millersville, MD 21108-1417 | 2019-08-18 |
| 1770137440 | Jaime Samluck | Registered Nurse | 620 Trango Dr, Westminster, MD 21158-9469 | 2019-07-30 |
| 1194382515 | Bridget N Krautwurst | Registered Nurse | 33 Boileau Ct, Middletown, MD 21769-8002 | 2019-05-21 |
| 1881156784 | Anne Caitlin Greene | Registered Nurse | 14812 Physicians Ln Ste 161, Rockville, MD 20850-3911 | 2019-04-01 |
| Find all providers with the same taxonomy | ||||
| City | GAITHERSBURG |
| Zip Code | 20879 |
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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.