RANDOLPH ASAMA ANAGHO (NPI# 1124370903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124370903 |
| Entity Type | Individual |
| Full Name | RANDOLPH ASAMA ANAGHO |
| Practice Address |
4709 Caddo Rd College Park MD 20740 |
| Practice Telephone | 2025472949 |
| Mailing Telephone | 2025472949 |
| Enumeration Date | 2012-10-04 |
| Last Update Date | 2012-10-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | LPN1005057 | MD | Nursing Service Providers |
| Street Address |
4709 CADDO RD, |
| 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 |
| 1083152284 | Kabrima Y Petty | Nurse Practitioner | 10201 Baltimore Ave Apt 5102, College Park, MD 20740 | 2017-02-08 |
| 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 |
| Find all providers in zip 20740 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: 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 |
|---|---|---|---|---|
| 1588825822 | Michelle L Bigelow | Licensed Practical Nurse | 2147 Shancey Ln, College Park, GA 30349-3427 | 2008-06-19 |
| 1245303817 | Pamela Denise Martin | Licensed Practical Nurse | 1920 John Wesley Ave, College Park, GA 30337 | 2006-11-15 |
| 1720411523 | Louis Afumbom Kimeng | Licensed Practical Nurse | 4920 Niagara Rd, Suite 318, College Park, MD 20740-1110 | 2013-08-15 |
| 1285071878 | Emile Cheuyou Youmbi | Licensed Practical Nurse | 4920 Niagara Rd Ste 318-320, College Park, MD 20740-1110 | 2013-05-23 |
| 1700179637 | Monica Denise Borum | Licensed Practical Nurse | 5524 Old National Hwy, Suite B, College Park, GA 30349-3212 | 2011-05-25 |
| 1437442803 | Diane Boulai | Licensed Practical Nurse | 5524 Old National Hwy, Suite B, College Park, GA 30349-3212 | 2011-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750981809 | Winifred Ayodeji Wells | Licensed Practical Nurse | 2602 Box Tree Dr, Upper Marlboro, MD 20774-9305 | 2020-10-28 |
| 1801494034 | Evae Jackson | Licensed Practical Nurse | 7 Willow Tree Garth Apt D, Cockeysville, MD 21030-5276 | 2020-10-09 |
| 1548877517 | Nkiru Amy Echefu | Licensed Practical Nurse | 13027 Boykin Pl, Upper Marlboro, MD 20774-5640 | 2020-09-24 |
| 1548870785 | Kadiatu Sesay | Licensed Practical Nurse | 209 Castleton Ter, Upper Marlboro, MD 20774-1447 | 2020-08-03 |
| 1841818606 | Marie Y Joseph | Licensed Practical Nurse | 13011 Broadmore Rd, Silver Spring, MD 20904-3116 | 2020-07-08 |
| 1720604721 | Margaret Jackson | Licensed Practical Nurse | 2 Farmington Ct, Apt J, Parkville, MD 21234 | 2020-06-25 |
| 1043836885 | Jennifer Hubbard | Licensed Practical Nurse | 9014 Meadow Heights Rd, Randallstown, MD 21133-3628 | 2020-06-17 |
| 1154944734 | Francis Kala Kentsa | Licensed Practical Nurse | 3213 Toledo Pl Apt T2, Hyattsville, MD 20782-4198 | 2020-05-18 |
| 1073135455 | Sherlyn Sandy | Licensed Practical Nurse | 4621 Arabia Ave, Baltimore, MD 21214-3234 | 2020-05-08 |
| 1962021337 | Jeneba Georgiana Lansana | Licensed Practical Nurse | 3210 Reed St, Glenarden, MD 20706-1552 | 2020-04-15 |
| Find all providers with the same taxonomy | ||||
| City | COLLEGE PARK |
| Zip Code | 20740 |
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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.