KHADEJA QUBLA IBN BAIDOO (NPI# 1104467414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104467414 |
| Entity Type | Individual |
| Full Name | KHADEJA QUBLA IBN BAIDOO |
| Credential | CRNP |
| Practice Address |
4843 Marsden Pl Frederick MD 21703-6822 |
| Practice Telephone | 5712756765 |
| Mailing Telephone | 5712756765 |
| Enumeration Date | 2019-10-08 |
| Last Update Date | 2020-06-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | R214238 | MD | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R214238 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4843 MARSDEN PL |
| City | FREDERICK |
| State | MD |
| Zip Code | 21703-6822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255942231 | Khadeja Family Practice, LLC | Nurse Practitioner | 4843 Marsden Pl, Frederick, MD 21703-6822 | 2020-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861902959 | Kenny Chen | Optometrist | 5283 Corporate Dr Ste 201, Frederick, MD 21703 | 2017-10-03 |
| 1578934550 | Barbara Tarlowski | Physical Therapy Assistant | 347 Ballenger Center Drive, Frederick, MD 21703 | 2015-10-15 |
| 1679958813 | Taiji Acupuncture Clinic | Community Based Residential Treatment Facility, Mental Illness | 1411 Bluewing Ct, Frederick, MD 21703 | 2015-07-29 |
| 1609283050 | Green Ridge Behavioral Health, LLC | Psychiatry & Neurology | 5216 Chairmans Court, Suite 102, Frederick, MD 21703 | 2014-07-17 |
| 1841597705 | Jennifer Anne Dye | Speech-Language Pathologist | 5312 Ballenger Creek Pike, Frederick, MD 21703 | 2011-02-11 |
| 1568794790 | Andersons Community Healthcare Services Inc | Nursing Care | 4727 Verdana Loop, Frederick, MD 21703 | 2010-02-15 |
| 1962672782 | Service Coordination Inc | Case Management | 5303 Spectrum Drive, Suite I, Frederick, MD 21703 | 2008-03-07 |
| 1396877189 | Health and Happiness LLC | Psychologist | 93 S Mccain Drive, Frederick, MD 21703 | 2007-03-09 |
| 1275629776 | Mary Bernadette Sheehy | Nurse Practitioner | Fmh Wellness Center 5500 Buckeystown Pike, Corpohs Prospect Plaza, Frederick, MD 21703 | 2006-10-04 |
| 1720185218 | Rea and Derick Inc P 1835 | Pharmacy | 5500 Buckeystown Pk Frcs Sct Key Mall, Frederick, MD 21703 | 2006-09-19 |
| Find all providers in zip 21703 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073129714 | Rita Akowuah | Nurse Practitioner | 1302 Baker Place East Apt 14, Frederick, MD 21702 | 2020-09-18 |
| 1356957252 | True Vitality Consulting Dba Peridot Health | Nurse Practitioner | 5255 Buckeystown Pike, Frederick, MD 21704-7535 | 2020-09-17 |
| 1285288282 | Augusto Paredes Ubillus | Nurse Practitioner | 110 Baughmans Ln Ste 140, Frederick, MD 21702-4649 | 2019-07-29 |
| 1912561408 | Christine Noyan-lue | Nurse Practitioner | 9516 Bridgewater Ct E, Frederick, MD 21701-7619 | 2019-04-30 |
| 1720642986 | Ashley Marie Fox | Nurse Practitioner | 1305 W 7th St Ste 28, Frederick, MD 21702-4100 | 2019-04-23 |
| 1265997845 | Karen Gregory | Nurse Practitioner | 9330 Bishopgate Dr, Frederick, MD 21704-7356 | 2019-02-07 |
| 1447735352 | Ezcare Clinic LLC | Nurse Practitioner | 1519 W Patrick St Ste A1, Frederick, MD 21702-3763 | 2018-09-26 |
| 1801378435 | Saving Lives Center LLC | Nurse Practitioner | 3 Hillcrest Dr Ste A101, Frederick, MD 21703-6105 | 2018-08-30 |
| 1235655903 | Laura Jane Kannaian | Nurse Practitioner | 176 Thomas Johnson Dr Ste 104, Frederick, MD 21702-4499 | 2017-08-15 |
| 1265961312 | Rebecca M Barker | Nurse Practitioner | 182 Thomas Johnson Dr Ste 100, Frederick, MD 21702-4486 | 2017-06-11 |
| Find all providers in FREDERICK | ||||
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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.