LESLEY TODD


Address: 120 Banjo Ln, Centreville, MD 21617-1002
Phone: 4107581787

LESLEY TODD (NPI# 1205822053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205822053
Entity Type Individual
Full Name LESLEY TODD
Credential CRNP
Practice Address 120 Banjo Ln
Centreville
MD 21617-1002
Mailing Address 29466 Pintail Dr
Suite 9
Easton
MD 21601-9323
Practice Telephone 4107581787
Practice Fax Number 4107581789
Mailing Telephone 4107705140
Mailing Fax Number 4107705141
Enumeration Date 2005-09-26
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
R064855 MD Physician Assistants & Advanced Practice Nursing Providers

Other Providers LESLEY TODD

NPI Name Taxonomy Address Enumeration
1972103083 Lesley Brown Todd Pharmacist 5303a Wrightsboro Rd, Grovetown, GA 30813-2800 2020-10-28

Office Location

Street Address 120 BANJO LN
City CENTREVILLE
State MD
Zip Code 21617-1002

Providers in the same location

NPI Name Taxonomy Address Enumeration
1245877182 Crossroads Community, Inc. Community/Behavioral Health 120 Banjo Ln, Centreville, MD 21617-1002 2019-12-10
1346883360 Courtney Marie Miller Social Worker 120 Banjo Ln, Centreville, MD 21617-1002 2019-10-22
1154983138 Corsica River Mental Health Services, Inc Case Management 120 Banjo Ln, Centreville, MD 21617-1002 2019-07-01
1033695028 Ashley Hall Counselor 120 Banjo Ln, Centreville, MD 21617-1002 2018-07-13
1295269785 Corsica River Mental Health Services, Inc. Clinic/Center 120 Banjo Ln, Centreville, MD 21617-1002 2017-04-12
1568912657 Crossroads Community, Inc. Community/Behavioral Health 120 Banjo Ln, Centreville, MD 21617-1002 2016-10-12
1730636192 Erin Elizabeth Cannon Social Worker 120 Banjo Ln, Centreville, MD 21617-1002 2016-09-02
1346608916 Corsica River Mental Health Services, Inc Clinic/Center 120 Banjo Ln, Centreville, MD 21617-1002 2016-02-10
1437517000 Crossroads Community, Inc. Community/Behavioral Health 120 Banjo Ln, Centreville, MD 21617-1002 2016-02-10
1538536545 Lori Moore Registered Nurse 120 Banjo Ln, Centreville, MD 21617-1002 2015-08-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1518322445 Marianna Edmonston Occupational Therapy Assistant 205 Armstrong St., Genesis Rehabilitation Services Corsica Hills, Centreville, MD 21617 2015-12-18
1881089084 Michelle Katherine Priddy Specialist/Technologist 125 Ruthsburg Rd., Centreville, MD 21617 2015-04-03
1801220579 Kimberly Patrice Wilson Counselor 205 North Liberty St, Centreville, MD 21617 2013-08-29
1588940787 Angela Renee Sommer Speech-Language Pathologist 205 Armstrong Street, Genesis Rehabilitation Services Corsica Hills, Centreville, MD 21617 2011-11-01
1497067144 Alison Lynn Mccuen Speech-Language Pathologist 175 Ashland Drive, Centreville, MD 21617 2010-07-10
1427269406 Hospice of Queen Anne's Inc. Hospice Care, Community Based 255 Comet Drive, Centreville, MD 21617 2007-05-24
1093921470 Lillian Sheehan Social Worker 152 Courseval Drive, Ste 142, Centreville, MD 21617 2007-05-15
1184723942 Centreville Drugs Inc Durable Medical Equipment & Medical Supplies 102 Commerce Street, Centreville, MD 21617 2006-09-21
1114022670 James J Lucas Dentist 134 Coursevall Drive, Centerville, MD 21617 2006-09-13
1730129370 Joseph C Titus Social Worker 120 Banjo Lane, Centreville, MD 21617 2006-06-08
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497318406 Stephen Kwaku Brobbey Nurse Practitioner 6805 Malton Ct, Centreville, VA 20121-2557 2019-04-16
1144737230 Atara Health Solutions Ltd Nurse Practitioner 14631 Lee Hwy Ste 207, Centreville, VA 20121-5827 2018-01-10
1164556734 Julia R Strong Nurse Practitioner 120 Banjo Ln, Centreville, MD 21617-1002 2007-03-15

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1821697533 Brighter Days Recovery Center Nurse Practitioner 2439 E Lafayette Ave, Baltimore, MD 21213-2562 2020-10-23
1033718762 White Plains Primary Care Nurse Practitioner 50 Post Office Rd Ste 304, Waldorf, MD 20602-3704 2020-10-23
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
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Competitor

Search similar providers

City CENTREVILLE
Zip Code 21617

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Dataset Information

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.

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