NATHANIEL M IDEHEN (NPI# 1093149957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093149957 |
| Entity Type | Individual |
| Full Name | NATHANIEL M IDEHEN |
| Practice Address |
6040 Southport Dr Bethesda MD 20814-1848 |
| Practice Telephone | 3014934200 |
| Mailing Telephone | 3014934200 |
| Mailing Fax Number | 3014936209 |
| Enumeration Date | 2013-08-28 |
| Last Update Date | 2013-08-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | R195044 | MD | Nursing Service Providers |
| Street Address |
6040 SOUTHPORT DR |
| City | BETHESDA |
| State | MD |
| Zip Code | 20814-1848 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194725739 | Cornerstone Montgomery, Inc. | Clinic/Center | 6040 Southport Dr, Bethesda, MD 20814-1848 | 2005-07-26 |
| 1992343370 | Cornerstone Montgomery, Inc. | Community/Behavioral Health | 6040 Southport Dr, Bethesda, MD 20814-1848 | 2019-12-16 |
| 1922591163 | Yvonne Medina | Licensed Practical Nurse | 6040 Southport Dr, Bethesda, MD 20814-1848 | 2018-06-12 |
| 1881122034 | Jaline Gilliam | Social Worker | 6040 Southport Dr, Bethesda, MD 20814-1848 | 2017-06-01 |
| 1871044784 | Agerie Ejigu | Nurse Practitioner | 6040 Southport Dr, Bethesda, MD 20814-1848 | 2016-10-17 |
| 1619425865 | Rosa Moudene | Registered Nurse | 6040 Southport Dr, Bethesda, MD 20814-1848 | 2016-09-16 |
| 1679923833 | Alexandra Friedman | Social Worker | 6040 Southport Dr, Bethesda, MD 20814-1848 | 2016-06-20 |
| 1104276955 | Kathleen Kirk | Social Worker | 6040 Southport Dr, Bethesda, MD 20814-1848 | 2016-06-13 |
| 1609239789 | Emily Picon | Social Worker | 6040 Southport Dr, Bethesda, MD 20814-1848 | 2016-04-05 |
| 1124491543 | James Ladner | Social Worker | 6040 Southport Dr, Bethesda, MD 20814-1848 | 2015-11-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598365082 | Chibuzor Susan Igolo | Nurse Practitioner | 4494 N Palmer Rd N, Bethesda, MD 20814 | 2020-10-26 |
| 1922611797 | David Yardeni | Student in an Organized Health Care Education/Training Program | 10 Center Drive, 4-5722, Bethesda, MD 20814 | 2020-08-31 |
| 1003436619 | Global Psychotherapy Center of Bethesda | Community/Behavioral Health | 4400 East West Highway Suite C-e, Bethesda, MD 20814 | 2020-04-23 |
| 1306465737 | Jamie Marie Lewis | Nurse Practitioner | 104 Wood Drive, Bethesda, MD 20814 | 2020-04-15 |
| 1427687003 | Jon Lindefjeld | Student in an Organized Health Care Education/Training Program | Walter Reed National Military Medical Center Psychiatry, Bethesda, MD 20814 | 2020-04-06 |
| 1568002814 | Paige Lewis | Counselor | 7201 Wisconsin Ave. Suite 700, Bethesda, MD 20814 | 2020-01-14 |
| 1023657400 | Brightview Bethesda Grosvenor, LLC | Alzheimer Center (Dementia Center) | 5510 Grosvenor Lane, Bethesda, MD 20814 | 2020-01-02 |
| 1972144939 | Uzma Knouss | Marriage & Family Therapist | 4905 Del Ray Ave, Suite 508, Bethesda, MD 20814 | 2019-10-01 |
| 1962057620 | Catherine Jeffries | Speech-Language Pathologist | 7921 Lynnbrook Drive, Bethesda, MD 20814 | 2019-08-08 |
| 1992368963 | Sheryl Lynne Winans | Occupational Therapist | 8001 Lynbrook Drive, Bethesda, MD 20814 | 2019-04-16 |
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| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205437324 | Patricia Ogbebor | Registered Nurse | 6405 Rock Forest Dr Apt 102, Bethesda, MD 20817-7921 | 2020-11-04 |
| 1891395059 | Patrick A Burns | Registered Nurse | 4512 Avamere St, Bethesda, MD 20814-3931 | 2020-10-27 |
| 1407489909 | Lisa Marie Gatten | Registered Nurse | 223 Lake St # 54, Bethesda, OH 43719-7532 | 2020-02-13 |
| 1881257756 | Marie Theresa Newman | Registered Nurse | 6211 Winnebago Road, Bethesda, MD 20816 | 2019-04-17 |
| 1861965030 | Andrea I Bowling | Registered Nurse | 10 Center Drive Room 3d20, Bethesda, MD 20892-0001 | 2019-01-09 |
| 1144703299 | Deidre Ann Fisher | Registered Nurse | 7505 Democracy Blvd Apt 113, Bethesda, MD 20817-1238 | 2018-09-13 |
| 1922592344 | Patricia Ann Treffinger | Registered Nurse | 8901 Wisconsin Ave Wrb Building 19, Bethesda, MD 20889-0001 | 2018-06-19 |
| 1033627203 | Patrizia Onorata Difranco | Registered Nurse | 6430 Rockledge Dr Ste 100, Bethesda, MD 20817-1847 | 2018-01-22 |
| 1497267603 | Emily Christine Brede | Registered Nurse | 10 Center Dr Room 3n112, Bethesda, MD 20892-0001 | 2017-10-27 |
| 1245682913 | Katharine Vincent | Registered Nurse | 4401 E West Hwy Ste 205, Bethesda, MD 20814 | 2016-07-06 |
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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.