MICHELLE PHEBUS (NPI# 1104362839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104362839 |
| Entity Type | Individual |
| Full Name | MICHELLE PHEBUS |
| Credential | ATC |
| Practice Address |
1812 Lorgnette Ct Severn MD 21144-1635 |
| Practice Telephone | 4438446696 |
| Mailing Telephone | 4438446696 |
| Enumeration Date | 2017-01-19 |
| Last Update Date | 2017-01-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246Z00000X | Specialist/Technologist, Other | A0000632 | MD | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
1812 LORGNETTE CT |
| City | SEVERN |
| State | MD |
| Zip Code | 21144-1635 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033724786 | Life Force for Older Americans, Inc. | In Home Supportive Care | 1869 Hawk Court, Severn, MD 21144 | 2020-09-10 |
| 1154942043 | Alysia Frances Henderson | Specialist/Technologist | 7675 Baltimore Avenue, Ritchie Coliseum 0100, College Park, MD 21144 | 2020-05-01 |
| 1952952251 | Cristelyne Galutira | Behavior Technician | 8303 Canyon Oak Dr, Severn, MD 21144 | 2019-09-27 |
| 1710542717 | Seleste Upshaw | Nurse Practitioner | 524 Hidden Valley Court, Severn, MD 21144 | 2019-05-06 |
| 1528538105 | Life Support Clinical Counseling Service LLC | Counselor | 82 Janet Dale Ln, Severn, MD 21144 | 2018-11-27 |
| 1972088045 | Abundant Life and Wellness Counseling Services, LLC | Counselor | 1812 Encore Ter, Severn, MD 21144 | 2018-09-25 |
| 1528544731 | Allegiance Chiropractic LLC | Chiropractor | 2622h Annapolis Rd, Severn, MD 21144 | 2018-07-11 |
| 1922554526 | Amana Khondaker | Pharmacist | 2600 Annapolis Rd., Severn, MD 21144 | 2016-09-01 |
| 1457707960 | Caroline Akomolede | Licensed Practical Nurse | 8420 Gale Lane, Aa, Severn, MD 21144 | 2016-05-13 |
| 1306184726 | Casey Mary Mccall | Counselor | 1157 Reece Road, Severn, MD 21144 | 2013-01-18 |
| Find all providers in zip 21144 | ||||
| Taxonomy Code | 246Z00000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780114405 | Monique La Shon Williams | Specialist/Technologist, Other | 1221 Mercantile Ln Ste 203, Upper Marlboro, MD 20774-5374 | 2017-06-14 |
| 1407391311 | Christopher Hartman | Specialist/Technologist, Other | 2755 Augustine Herman Hwy, Chesapeake City, MD 21915-1408 | 2016-12-31 |
| 1033588496 | Linda Odum | Specialist/Technologist, Other | 7779 Kidwell Dr, Hanover, MD 21076-1635 | 2015-09-16 |
| 1497162853 | Hema Kaur Sidhu | Specialist/Technologist, Other | 5216 Lynngate Rd, Columbia, MD 21044-1435 | 2014-07-17 |
| 1891054045 | Richard Hess | Specialist/Technologist, Other | 53 Ridge Rd Unit K, Greenbelt, MD 20770-7711 | 2012-05-09 |
| 1205193885 | Devole Thompson | Specialist/Technologist, Other | 1811 Glendora Dr, District Heights, MD 20747-1880 | 2012-04-19 |
| 1215212543 | Bobby Mitchell | Specialist/Technologist, Other | 9228 Vollmerhausen Rd, Jessup, MD 20794-9518 | 2011-10-18 |
| 1518256312 | Complete Mobile Diagnostics LLC | Specialist/Technologist, Other | 3309 Deer Hill Rd, Street, MD 21154 | 2011-04-01 |
| 1275604381 | Mary Y. Duan | Specialist/Technologist, Other | 1221 Maple Grove Ln, Rockville, MD 20850-6692 | 2006-11-11 |
| 1912004268 | William Charles Tessendorf | Specialist/Technologist, Other | 450 Streaker Road, Sykesville, MD 21784-8654 | 2006-09-20 |
| Find all providers with the same taxonomy | ||||
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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.