KRISTOPHER DERBYSHIRE


Address: 6095 Marshalee Dr, United Health Group/optum, Elkridge, MD 21075-6053
Phone: 4103793599

KRISTOPHER DERBYSHIRE (NPI# 1083158042) 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) 1083158042
Entity Type Individual
Full Name KRISTOPHER DERBYSHIRE
Credential CRNP
Practice Address 6095 Marshalee Dr
United Health Group/optum
Elkridge
MD 21075-6053
Mailing Address 6095 Marshalee Dr
Suite #100
Elkridge
MD 21075-6053
Practice Telephone 4103793599
Enumeration Date 2016-12-10
Last Update Date 2016-12-10
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
R200668 MD Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 6095 MARSHALEE DR
UNITED HEALTH GROUP/OPTUM
City ELKRIDGE
State MD
Zip Code 21075-6053

Providers in the same location

NPI Name Taxonomy Address Enumeration
1073519963 Mary Spangler Nurse Practitioner 6095 Marshalee Dr, Elkridge, MD 21075-6053 2005-06-24
1275077083 Susane Njomo Nurse Practitioner 6095 Marshalee Dr, Elkridge, MD 21075-6053 2016-12-13
1023550308 Angela Erin Knotts Nurse Practitioner 6095 Marshalee Dr, Suite 100, Elkridge, MD 21075-6053 2016-11-17
1235684325 Traci Stokes Nurse Practitioner 6095 Marshalee Dr, Elkridge, MD 21075-6053 2016-08-18
1164879904 Illya Payne Nurse Practitioner 6095 Marshalee Dr, Elkridge, MD 21075-6053 2016-05-23
1922461227 Olasunmbo I Feyisetan Nurse Practitioner 6095 Marshalee Dr, Elkridge, MD 21075 2016-04-04
1457661449 Jennifer Macadam Nurse Practitioner 6095 Marshalee Dr, Elkridge, MD 21075-6053 2010-10-08
1366772964 Jakarta A Blakeney Nurse Practitioner 6095 Marshalee Dr, Ste 100, Elkridge, MD 21075-6053 2010-01-04
1043540834 Regina Clare Birch Nurse Practitioner 6095 Marshalee Dr, Elkridge, MD 21075-6053 2009-12-30
1528396009 Susan Schurman Nurse Practitioner 6095 Marshalee Dr, United Healthcare/evercare, Elkridge, MD 21075-6053 2009-11-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174043640 Howard County Health Department Clinic/Center 6925 Old Waterloo Road, Hchd Deep Run Elementary School-based Wellness Center, Elkridge, MD 21075 2017-06-26
1023485539 Cvs Clinic/Center 6480 Old Waterloo Road, Elkridge, MD 21075 2015-09-01
1063762417 Mid-atlantic Allergy & Asthma Clinic/Center 8182 Lark Brown Road, Elkridge, MD 21075 2012-09-13
1447522925 Alberta Osei Agyeman Social Worker 7274 Elkridge Crossing Way, Elkridge, MD 21075 2012-01-31
1588970552 Mira M Patel Pharmacist 7270 Montgomery Road, Rite Aid Pharmacy, Elkridge, MD 21075 2010-08-27
1710298112 Emily Jeanne Marti Nurse Practitioner 6095 Marshalee Drive, Elkridge, MD 21075 2010-06-30
1538352612 Costco Wholesale Corp Pharmacy 6675 Marie Curie Dr, Elkridge, MD 21075 2007-08-22
1225250707 Orthosport Physical Therapy of Md Clinic/Center 8174 Lark Brown Road, Suite 101, Elkridge, MD 21075 2007-05-03
1164643086 Linda M. Jones-laper Dentist 6865 Deerpath Rd Suite 100, Elkridge, MD 21075 2007-05-01
1487756813 Robert E Skillman Jr. Dentist 5921 Old Washington Rd, Elkridge, MD 21075 2006-09-05
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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073519963 Mary Spangler Nurse Practitioner 6095 Marshalee Dr, Elkridge, MD 21075-6053 2005-06-24

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1275134934 Healthy Option Clinic, LLC Nurse Practitioner 101 Egypt Farms Rd, Owings Mills, MD 21117-5043 2020-11-07
1598364192 Folasade O Onasanya Nurse Practitioner 3312 Croydon Rd, Baltimore, MD 21207-4543 2020-10-23
1407460421 Nkechi Okeh Nurse Practitioner 9603 Glenkirk Way, Bowie, MD 20721-2998 2020-09-08
1780298588 Andreli Professional Advising and Resources, LLC Nurse Practitioner 9730 Morningview Cir, Perry Hall, MD 21128-9024 2020-08-31
1194336941 Phoebe Vuwansi Chongong Nurse Practitioner 10300 Crystal Brook Ct, Upper Marlboro, MD 20772-6687 2020-08-14
1306457122 Trusted and Innovative Inc Nurse Practitioner 4600 Powder Mill Rd Ste 450, Beltsville, MD 20705-2686 2020-08-14
1225653611 Zynith Health Care & Associates Nurse Practitioner 4061 Powder Mill Rd Ste 101, Beltsville, MD 20705-3156 2020-06-11
1124640974 Liberty Family Care Nurse Practitioner 8515 Liberty Rd Ste B, Randallstown, MD 21133-4832 2020-05-15
1437785706 Hajia M Nagaiya Nurse Practitioner 3525 Courtleigh Dr, Baltimore, MD 21244-2205 2020-03-19
1578195475 Baltimore Healthcare At Home, LLC Nurse Practitioner 9501 Branchleigh Rd, Randallstown, MD 21133-2056 2020-02-07
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Competitor

Search similar providers

City ELKRIDGE
Zip Code 21075

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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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