JUSTINE S ELLERMAN (NPI# 1043505324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043505324 |
Entity Type | Individual |
Full Name | JUSTINE S ELLERMAN |
Credential | CRNP |
Practice Address |
400 Ball Rd Saint Leonard MD 20685-2116 |
Mailing Address |
Po Box 76 Saint Leonard MD 20685-0076 |
Practice Telephone | 5167543268 |
Mailing Telephone | 5167543268 |
Enumeration Date | 2011-06-14 |
Last Update Date | 2011-06-14 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
R191521 | MD | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
400 BALL RD |
City | SAINT LEONARD |
State | MD |
Zip Code | 20685-2116 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952915035 | St Leonard Volunteer Fire and Rescue Company 7 Inc | Ambulance | 200 Calvert Beach Road, St Leonard, MD 20685 | 2020-09-04 |
1134768146 | Jamie Seawell | Dietitian, Registered | 5404 Bayview Ave, Saint Leonard, MD 20685-2226 | 2019-12-23 |
1720604176 | Corinne Pearce | Dietitian, Registered | 5806 Magnolia Cir, Saint Leonard, MD 20685-2722 | 2020-06-22 |
1982089637 | Gilead Christian Counseling LLC | Social Worker | 950 Calvert Beach Rd, Saint Leonard, MD 20685-2843 | 2015-07-23 |
1053660100 | Medical Home Design & Renovation | Durable Medical Equipment & Medical Supplies | 1181 Thompson Ct, Saint Leonard, MD 20685-2917 | 2012-09-05 |
1477051969 | Zachary Jon Kirkwood | Specialist/Technologist | 1750 Leos Way, Saint Leonard, MD 20685-2925 | 2018-01-30 |
1811498728 | Jay Neal | Hearing Instrument Specialist | 5095 Kings Rd, Saint Leonard, MD 20685-3042 | 2018-02-26 |
1265662357 | Angelic Home Care Inc. | In Home Supportive Care | 4670 Williams Wharf Rd, Saint Leonard, MD 20685-3044 | 2009-07-23 |
1568944858 | A Place Just for Me | Assisted Living Facility | 4670 Williams Wharf Rd, Saint Leonard, MD 20685-3044 | 2018-09-03 |
1326437963 | A Place for Me, Inc | Clinic/Center | 4670 Williams Wharf Rd, Saint Leonard, MD 20685-3044 | 2015-01-20 |
Find all providers in zip 20685 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
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1821697533 | Brighter Days Recovery Center | Nurse Practitioner | 2439 E Lafayette Ave, Baltimore, MD 21213-2562 | 2020-10-23 |
1033718762 | White Plains Primary Care | Nurse Practitioner | 50 Post Office Rd Ste 304, Waldorf, MD 20602-3704 | 2020-10-23 |
1245839653 | Itoro Abatai | Nurse Practitioner | 9620 Maxwell Rd, Middle River, MD 21220-3792 | 2020-10-19 |
1992304372 | Catherine Koskei | Nurse Practitioner | 2295 Lowell Ridge Rd Apt B, Parkville, MD 21234-2370 | 2020-10-18 |
1194323857 | Meliora Davies | Nurse Practitioner | 206 Settlers Way, Upper Marlboro, MD 20774-5770 | 2020-10-14 |
1932707171 | David Mwangi | Nurse Practitioner | 27 Blue Spire Cir, Middle River, MD 21220-1743 | 2020-10-10 |
1750989042 | Osereme Nora Agboifo | Nurse Practitioner | 200 Ejoppa Rd Suite 106, Townson, MD 21286 | 2020-10-09 |
1639776446 | Serenity Heart Healthcare, LLC | Nurse Practitioner | 6755 Business Pkwy Ste 304, Elkridge, MD 21075-6740 | 2020-10-05 |
1689281529 | Premier Psychiatry, LLC | Nurse Practitioner | 10601 Virginia Ave, Cockeysville, MD 21030-2315 | 2020-09-24 |
1407462559 | Mem Scepter Home & Behavioral | Nurse Practitioner | 14104 Dawn Whistle Way, Bowie, MD 20721-1304 | 2020-09-23 |
Find all providers with the same taxonomy |
City | SAINT LEONARD |
Zip Code | 20685 |
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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.