DR. JENNIFER LEIGH TAKACH (NPI# 1205319373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205319373 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER LEIGH TAKACH |
| Credential | DNP, CPNP-PC |
| Practice Address |
11161 New Hampshire Ave Ste 301 Silver Spring MD 20904-2606 |
| Mailing Address |
14400 Oakvale St Rockville MD 20853-2131 |
| Practice Telephone | 3016817101 |
| Mailing Telephone | 3015023460 |
| Enumeration Date | 2018-09-13 |
| Last Update Date | 2018-09-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
R220912 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
11161 NEW HAMPSHIRE AVE STE 301 |
| City | SILVER SPRING |
| State | MD |
| Zip Code | 20904-2606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508837147 | David Richard Miller | Pediatrics | 11161 New Hampshire Ave Ste 301, Silver Spring, MD 20904 | 2006-01-31 |
| 1033741400 | Annie Kirlin | Nurse Practitioner | 11161 New Hampshire Ave Ste 301, Silver Spring, MD 20904-2606 | 2020-02-04 |
| 1962834127 | Alayne Thompson Benassi | Nurse Practitioner | 11161 New Hampshire Ave Ste 301, Silver Spring, MD 20904-2606 | 2013-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487292678 | Vas Adult Day Care Center | Clinic/Center | 12621 Old Columbia Pike, Silver Spring, MD 20904 | 2019-12-18 |
| 1619512837 | David Newsome | General Practice | 12305 Sandalwood Lane, Silver Spring, MD 20904 | 2019-11-12 |
| 1215595996 | Educational Speech Services Prattle On | Speech-Language Pathologist | 2804 Mozart Drive, Silver Spring, MD 20904 | 2019-05-29 |
| 1184288201 | Danielle Fitzpatrick Tarbrake | Speech-Language Pathologist | Cannon Road Elementary School, 901 Cannon Road, Silver Spring, MD 20904 | 2019-04-24 |
| 1912483181 | Florence M Edorh-damlin | Home Health Aide | 14119 Castle Blvd Apt 102, Silver Spring, MD 20904 | 2018-07-11 |
| 1922594357 | Melanie Bennett | Occupational Therapist | 3500 Sheffield Manor Terrace, Silver Spring, MD 20904 | 2018-07-09 |
| 1578056602 | Chioma Theresa Nwaneri | Home Health Aide | 1516 November Cir Apt 201, Silver Spring, MD 20904 | 2018-06-13 |
| 1598287989 | Wandji Ngatchou | Home Health Aide | 13908 Castle Blvd Apt 303, Silver Spring, MD 20904 | 2017-07-07 |
| 1871025239 | Rose Abanda | Home Health Aide | 11700 Old Columbia Pike Apt 703, Silver Spring, MD 20904 | 2017-04-03 |
| 1962955930 | Bentilda Healthcare Services | Nursing Care | 13526 Collingwood Ter, Silver Spring, MD 20904 | 2016-07-26 |
| Find all providers in zip 20904 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760969505 | Felicia Cordy James | Nurse Practitioner | 10750 Columbia Pike Ste 502, Silver Spring, MD 20901-4460 | 2018-07-24 |
| 1437604048 | Lindsay Baron | Nurse Practitioner | 10801 Lockwood Dr Ste 230, Silver Spring, MD 20901-1559 | 2016-08-24 |
| 1164419024 | Jane Colleran Taylor | Nurse Practitioner | 13407 Lydia St, Silver Spring, MD 20906-5225 | 2005-10-05 |
| 1033741400 | Annie Kirlin | Nurse Practitioner | 11161 New Hampshire Ave Ste 301, Silver Spring, MD 20904-2606 | 2020-02-04 |
| 1619453008 | Ashley Hall | Nurse Practitioner | 10801 Lockwood Dr Ste 230, Silver Spring, MD 20901-1559 | 2018-07-18 |
| 1134618291 | Tara Lynn Seals | Nurse Practitioner | 1500 Forest Glen Rd, Silver Spring, MD 20910-1460 | 2018-05-04 |
| 1417408022 | Janice Evelyn Vasquez | Nurse Practitioner | 1500 Forest Glen Rd, Silver Spring, MD 20910-1460 | 2016-10-18 |
| 1649729666 | Jillian Campbell | Nurse Practitioner | 11161 New Hampshire Ave, Suite 301, Silver Spring, MD 20904-2606 | 2016-10-03 |
| 1891188538 | Kathryn Cape | Nurse Practitioner | 1500 Forest Glen Rd, Silver Spring, MD 20910-1460 | 2015-03-05 |
| 1962834127 | Alayne Thompson Benassi | Nurse Practitioner | 11161 New Hampshire Ave Ste 301, Silver Spring, MD 20904-2606 | 2013-07-30 |
| Find all providers in SILVER SPRING | ||||
| City | SILVER SPRING |
| Zip Code | 20904 |
Please comment or provide details below to improve the information on DR. JENNIFER LEIGH TAKACH.
| 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.