KRISTIN MARIE CLEMENS (NPI# 1154961381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154961381 |
| Entity Type | Individual |
| Full Name | KRISTIN MARIE CLEMENS |
| Credential | PMHNP-BC |
| Practice Address |
800 S Frederick Ave Ste 200a Gaithersburg MD 20877-4152 |
| Mailing Address |
5940 Baron Kent Ln Centreville VA 20120-3438 |
| Practice Telephone | 8775880282 |
| Practice Fax Number | 3018800228 |
| Mailing Telephone | 8775880282 |
| Mailing Fax Number | 3018800228 |
| Enumeration Date | 2020-01-15 |
| Last Update Date | 2020-05-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
AC003082 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 100148709 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215940812 | Kristin Ann Clemens | Psychologist | 8775 Sierra College Blvd Ste 200, Roseville, CA 95661-5985 | 2006-08-14 |
| Street Address |
800 S FREDERICK AVE STE 200A |
| City | GAITHERSBURG |
| State | MD |
| Zip Code | 20877-4152 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881215580 | Right Solutions Mental Health LLC | Nurse Practitioner | 800 S Frederick Ave Ste 200a, Gaithersburg, MD 20877-4152 | 2020-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083182083 | Elizabeth Schuman | Physical Therapist | 8100 Midcounty Highway, Gaithersburg, MD 20877 | 2018-11-07 |
| 1528544970 | Stephanie Lucas | Behavior Technician | 17755 Larchmont Ter, Gaithersburg, MD 20877 | 2018-07-18 |
| 1508351370 | National Vision, Inc. | Technician/Technologist | 18304 Contour Road, Montgomery Village, MD 20877 | 2018-06-25 |
| 1912496993 | Elias Kamal Abdi | Dentist | 200 Girard Street, #106, Gaithersburg, MD 20877 | 2018-05-06 |
| 1942741947 | Emily Katherine Griffin | Counselor | 501 N Frederick Ave Ste 300, Gaithersburg, MD 20877 | 2017-03-10 |
| 1285004317 | Institute for Family Centered Services | Community/Behavioral Health | 1600 S Frederick Ave, Suite 312, Gaithersburg, MD 20877 | 2015-10-01 |
| 1083097893 | Sylwia Patrycja Fowler | Psychiatry & Neurology | 604 S Frederick Ave Ste 211, Gaithersburg, MD 20877 | 2015-06-30 |
| 1962896126 | Estefania Ospina | Social Worker | 16220 Frederick Rd., Suite 310, Gaithersburg, MD 20877 | 2015-03-26 |
| 1619306206 | Patricia Elizabeth Deleon | Registered Nurse | 702 Russell Ave., #100, Gaithersburg, MD 20877 | 2013-11-05 |
| 1669805719 | International Pediatrics Pa | Pediatrics | 501 North Fredrick Ave Ste 212, Gaithersburg, MD 20877 | 2013-08-13 |
| Find all providers in zip 20877 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306478011 | Bridget Pieroni | Nurse Practitioner | 24912 Silver Crest Dr, Gaithersburg, MD 20882-3627 | 2020-02-11 |
| 1437579752 | Sherry Ann Mcatee | Nurse Practitioner | 15932 Shady Grove Rd, Gaithersburg, MD 20877-1313 | 2014-04-25 |
| 1881215580 | Right Solutions Mental Health LLC | Nurse Practitioner | 800 S Frederick Ave Ste 200a, Gaithersburg, MD 20877-4152 | 2020-05-04 |
| 1659911022 | Yvonne Nacion Swann | Nurse Practitioner | 8945 N Westland Dr, Gaithersburg, MD 20877-1249 | 2020-01-13 |
| 1851709448 | Erin Torres | Nurse Practitioner | 9055 Shady Grove Ct, Gaithersburg, MD 20877-1301 | 2014-07-27 |
| 1760789507 | Abimbola A Runsewe | Nurse Practitioner | 610 Professional Dr, Gaithersburg, MD 20879-3413 | 2011-02-14 |
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| 1245839653 | Itoro Abatai | Nurse Practitioner | 9620 Maxwell Rd, Middle River, MD 21220-3792 | 2020-10-19 |
| 1992304372 | Catherine Koskei | Nurse Practitioner | 2295 Lowell Ridge Rd Apt B, Parkville, MD 21234-2370 | 2020-10-18 |
| 1194323857 | Meliora Davies | Nurse Practitioner | 206 Settlers Way, Upper Marlboro, MD 20774-5770 | 2020-10-14 |
| 1932707171 | David Mwangi | Nurse Practitioner | 27 Blue Spire Cir, Middle River, MD 21220-1743 | 2020-10-10 |
| 1750989042 | Osereme Nora Agboifo | Nurse Practitioner | 200 Ejoppa Rd Suite 106, Townson, MD 21286 | 2020-10-09 |
| 1639776446 | Serenity Heart Healthcare, LLC | Nurse Practitioner | 6755 Business Pkwy Ste 304, Elkridge, MD 21075-6740 | 2020-10-05 |
| 1689281529 | Premier Psychiatry, LLC | Nurse Practitioner | 10601 Virginia Ave, Cockeysville, MD 21030-2315 | 2020-09-24 |
| 1407462559 | Mem Scepter Home & Behavioral | Nurse Practitioner | 14104 Dawn Whistle Way, Bowie, MD 20721-1304 | 2020-09-23 |
| Find all providers with the same taxonomy | ||||
| City | GAITHERSBURG |
| Zip Code | 20877 |
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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.