KABRIMA Y PETTY (NPI# 1083152284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083152284 |
| Entity Type | Individual |
| Full Name | KABRIMA Y PETTY |
| Credential | MSN, APRN, NP-C |
| Practice Address |
10201 Baltimore Ave Apt 5102 College Park MD 20740 |
| Mailing Address |
10201 Baltimore Ave Apt 5102 College Park MD 20740-4216 |
| Practice Telephone | 2025371587 |
| Mailing Telephone | 2027412449 |
| Enumeration Date | 2017-02-08 |
| Last Update Date | 2018-05-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R227548 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN1026990 | DC | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2150 Pennsylvania Ave Nw, Washington, DC 200373201 | 2027412449 |
| Street Address |
10201 BALTIMORE AVE APT 5102 |
| City | COLLEGE PARK |
| State | MD |
| Zip Code | 20740 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073147633 | S.a.f.e. Counseling Services LLC | Counselor | 6210 Greenbelt Road, L 4, Berwyn Heights, MD 20740 | 2020-02-23 |
| 1326528621 | Ryan Rehabilitation LLC | Counselor | 7100 Baltimore Ave Ste 105, College Park, MD 20740 | 2018-08-16 |
| 1760981120 | L. Jones-dove & Associates Tooth Spa LLC | Dentist | 6103 Greenbelt Road, College Park, MD 20740 | 2018-02-12 |
| 1538682257 | Heather Gambacorto | Behavior Technician | 3525 Marlbrough Way, College Park, MD 20740 | 2017-07-25 |
| 1841722691 | Bradley Weitzel | Specialist/Technologist | 4068 Field House Drive, College Park, MD 20740 | 2017-03-31 |
| 1659728517 | Brownstone Project In Md | Community/Behavioral Health | 6201 Greenbelt Rd Ste M6, Berwyn Heights, MD 20740 | 2016-05-20 |
| 1114371093 | Thomas Lowell Bennett | Specialist/Technologist | 7675 Baltimore Ave, R 0100, College Park, MD 20740 | 2016-04-18 |
| 1306226808 | Linda Ronma Williams | Nurse Practitioner | 4701 Melbourne Place, College Park, MD 20740 | 2015-06-01 |
| 1124427927 | Sarah Elizabeth Woerner | Pharmacist | 7300 Baltimore Boulevard, College Park, MD 20740 | 2014-08-18 |
| 1568871879 | Regina Johnson | Pharmacist | 7300 Washington-baltimore Blvd, College Park, MD 20740 | 2014-08-12 |
| Find all providers in zip 20740 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548872385 | Canuella Serwah Akrofi | Nurse Practitioner | 9314 Cherry Hill Rd Apt 1112, College Park, MD 20740-1254 | 2020-08-22 |
| 1255833315 | Daljinder Sahney | Nurse Practitioner | 1895 Phoenix Blvd Ste 235, College Park, GA 30349-5171 | 2018-03-05 |
| 1326418997 | Sikangezile Zulu | Nurse Practitioner | 2505 Creel Rd, College Park, GA 30349-4886 | 2015-09-25 |
| 1306226808 | Linda Ronma Williams | Nurse Practitioner | 4701 Melbourne Place, College Park, MD 20740 | 2015-06-01 |
| 1023345873 | Deborah Ekighalo Okonofua | Nurse Practitioner | 7100 Baltimore Ave Ste 510, College Park, MD 20740-3641 | 2009-11-13 |
| 1912026626 | Karen Jaffe Lefler | Nurse Practitioner | University of Maryland Health Ctr, Campus Drive Bldg 140, College Park, MD 20742-0001 | 2007-03-27 |
| 1336643444 | Helina Airoboma Esene | Nurse Practitioner | 7100 Baltimore Ave, Suite 510, College Park, MD 20740 | 2018-03-22 |
| 1548774524 | Itamar Simhon | Nurse Practitioner | 9658 Baltimore Ave Ste 420, College Park, MD 20740 | 2017-11-28 |
| 1528570504 | Darlene Mccullough | Nurse Practitioner | 2575 Jolly Rd, College Park, GA 30349-3165 | 2017-10-30 |
| 1083169585 | Grace Okhuereigbe | Nurse Practitioner | 7100 Baltimore Ave Ste 510, College Park, MD 20740-3641 | 2016-08-24 |
| Find all providers in COLLEGE PARK | ||||
| City | COLLEGE PARK |
| Zip Code | 20740 |
Please comment or provide details below to improve the information on KABRIMA Y PETTY.
| 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.