LESLEY TODD (NPI# 1205822053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| 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 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972103083 | Lesley Brown Todd | Pharmacist | 5303a Wrightsboro Rd, Grovetown, GA 30813-2800 | 2020-10-28 |
| Street Address |
120 BANJO LN |
| City | CENTREVILLE |
| State | MD |
| Zip Code | 21617-1002 |
| 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 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 21617 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
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|---|---|---|---|---|
| 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 |
| Find all providers with the same taxonomy | ||||
| City | CENTREVILLE |
| Zip Code | 21617 |
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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.