MRS. STEFANIE MICHELE SPESSARD (NPI# 1194248120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194248120 |
| Entity Type | Individual |
| Full Name | MRS. STEFANIE MICHELE SPESSARD |
| Credential | C.R.N.P. |
| Practice Address |
87 Thomas Johnson Dr Frederick MD 21702-4427 |
| Mailing Address |
3004 Annas Ter Frederick MD 21701-9333 |
| Practice Telephone | 3016940606 |
| Enumeration Date | 2017-07-21 |
| Last Update Date | 2017-08-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
R201915 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 124716600 | 05 |
| Street Address |
87 THOMAS JOHNSON DR |
| City | FREDERICK |
| State | MD |
| Zip Code | 21702-4427 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104824036 | Gunpreet Singh | Pediatrics | 87 Thomas Johnson Dr, Ste 101, Frederick, MD 21702-4427 | 2005-07-13 |
| 1144877564 | Breanne Michele Stranix | Nurse Practitioner | 87 Thomas Johnson Dr, Frederick, MD 21702-4427 | 2019-08-21 |
| 1659536860 | Sangeetha Vimal | Pediatrics | 87 Thomas Johnson Dr, Ste 101, Frederick, MD 21702-4427 | 2008-07-28 |
| 1376707174 | Sheetal Dhote | Pediatrics | 87 Thomas Johnson Dr, Ste 101, Frederick, MD 21702-4427 | 2008-07-11 |
| 1720253073 | Lynne P Soper | Nurse Practitioner | 87 Thomas Johnson Dr, Suite 101, Frederick, MD 21702-4427 | 2008-04-28 |
| 1780703876 | Heather Cornwell | Nurse Practitioner | 87 Thomas Johnson Dr, Suite 101, Frederick, MD 21702-4301 | 2007-03-28 |
| 1093834194 | Patricia Duley | Nurse Practitioner | 87 Thomas Johnson Dr, Suite 101, Frederick, MD 21702-4301 | 2007-03-28 |
| 1023031697 | Kari Pratt | Nurse Practitioner | 87 Thomas Johnson Dr, Ste 101, Frederick, MD 21702-4427 | 2006-07-25 |
| 1619938917 | Patricia L Hough | Pediatrics | 87 Thomas Johnson Dr, Suite 101, Frederick, MD 21702-4301 | 2006-03-28 |
| 1295712560 | Makaya Adisa Mulato | Pediatrics | 87 Thomas Johnson Dr, Suite 101, Frederick, MD 21702-4301 | 2005-12-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073129714 | Rita Akowuah | Nurse Practitioner | 1302 Baker Place East Apt 14, Frederick, MD 21702 | 2020-09-18 |
| 1912416272 | Morgan Nicely | Behavior Technician | 65 Thomas Johnson Drive Suite A, Frederick, MD 21702 | 2017-09-29 |
| 1154840494 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 184 Thomas Johnson Dr Ste 104, Frederick, MD 21702 | 2017-09-19 |
| 1831617471 | Hazel Elizabeth Gill | Physical Therapy Assistant | 2007 Butterfield Overlook, Frederick, MD 21702 | 2017-09-05 |
| 1831610161 | William Haynes | Nurse Practitioner | 103 Water Land Ct., Frederick, MD 21702 | 2017-06-27 |
| 1497299333 | Timothy Stimach | Pharmacist | 1430b W Patrick St, Frederick, MD 21702 | 2016-12-12 |
| 1184167405 | Maryland Nutrition and Diet Services, L.L.C. | Dietitian, Registered | 1301 W. 7th Street, No. 1607, Frederick, MD 21702 | 2016-11-18 |
| 1649649468 | Oluwakemi Olubunmi Osidele | Nurse Practitioner | 188 Thomas Johnson Dr Ste 102, Frederick, MD 21702 | 2015-09-22 |
| 1841678562 | Ventzislava Hristova | Spec/Tech, Pathology | 1050 Boyles St. Building 560 Room 12-39, National Cancer Institute - Frederick, Frederick, MD 21702 | 2015-05-14 |
| 1023404571 | Mychal Lynn Pilia | Advanced Practice Midwife | 7420 Hayward Road, Suite 104, Frederick, MD 21702 | 2015-04-11 |
| Find all providers in zip 21702 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912553595 | Kelsey Lynn Peifer | Nurse Practitioner | 6131 Baldridge Ter, Frederick, MD 21701-5858 | 2019-08-10 |
| 1316926470 | Lisa Lynne Barnett | Nurse Practitioner | 1475 Taney Ave Ste 201, Frederick, MD 21702-5126 | 2006-01-16 |
| 1144877564 | Breanne Michele Stranix | Nurse Practitioner | 87 Thomas Johnson Dr, Frederick, MD 21702-4427 | 2019-08-21 |
| 1437704863 | Kara Anne Slavoski | Nurse Practitioner | 1475 Taney Ave Ste 201, Frederick, MD 21702-5126 | 2019-08-02 |
| 1881248748 | Harsana Showunmi | Nurse Practitioner | 1475 Taney Ave Ste 201, Frederick, MD 21702-5126 | 2019-07-30 |
| 1376044545 | Melvina Sonia Evereklian | Nurse Practitioner | 1475 Taney Ave Ste 201, Frederick, MD 21702-5126 | 2018-02-23 |
| 1043757156 | Tina Thomas | Nurse Practitioner | 1475 Taney Ave, Frederick, MD 21702-4747 | 2017-01-26 |
| 1588110795 | Mallory Elizabeth Morris Stanislawczyk | Nurse Practitioner | 1475 Taney Ave, Suite 105, Frederick, MD 21702-4747 | 2016-08-28 |
| 1992155428 | Cara Becker | Nurse Practitioner | 1475 Taney Ave, Suite 201, Frederick, MD 21702-4747 | 2016-06-15 |
| 1588023428 | Katie Krupa | Nurse Practitioner | 1475 Taney Ave Ste 201, Frederick, MD 21702-5126 | 2016-02-21 |
| 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.