JOHANNA CATHERINE MCKENNA (NPI# 1265049324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265049324 |
| Entity Type | Individual |
| Full Name | JOHANNA CATHERINE MCKENNA |
| Other Name | JOHANNA CATHERINE LAKE |
| Credential | CRNP |
| Practice Address |
10750 Columbia Pike Ste 320 Silver Spring MD 20901-4453 |
| Mailing Address |
2802 Urbana Dr Silver Spring MD 20906-5033 |
| Practice Telephone | 6036304454 |
| Mailing Telephone | 6036304454 |
| Enumeration Date | 2020-09-23 |
| Last Update Date | 2020-09-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R220471 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
10750 COLUMBIA PIKE STE 320 |
| City | SILVER SPRING |
| State | MD |
| Zip Code | 20901-4453 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154961407 | Che Mbah | Home Health Aide | 25 East Wayne Ave 401, Silverspring, MD 20901 | 2020-01-14 |
| 1245891621 | Healing Arts Wellness LLC | Massage Therapist | Tavo Total Health, 407 Leighton Ave, Silver Spring, MD 20901 | 2019-06-26 |
| 1720643984 | Dana Hilary Bendidi | Speech-Language Pathologist | Forest Knolls Elementary School, 10830 Eastwood Avenue, Silver Spring, MD 20901 | 2019-05-03 |
| 1821579921 | Veronique Morelle Ngamgouo Nde | Home Health Aide | 8711 Arliss Street Atpt. 1, Silver Spring, MD 20901 | 2018-08-27 |
| 1598252827 | Laurel A Bryant | Massage Therapist | 10770 Columbia Pike Ste 300, Silver Spring, MD 20901 | 2018-04-23 |
| 1558861641 | Lorivi Gabrintina | Occupational Therapist | 1520 Prosperity Drive, Suite #210, Silver Spring, MD 20901 | 2018-02-15 |
| 1821503194 | Esther Nannerl Mae Nanga Biyo | Home Health Aide | 100 Croydon Ct Apt 6, Silver Spring, MD 20901 | 2017-12-08 |
| 1457878910 | Adebola B Ibirogba | Family Medicine | 209 Hartwell Road, Silver Spring, MD 20901 | 2017-08-25 |
| 1679095509 | Eleonore B Jatsa | Home Health Aide | 11200 Lockwood Drive, Apt 905, Silverspring, MD 20901 | 2017-07-12 |
| 1831554252 | Ivan Marin-soler | Psychologist | 9604 Sutherland Road, Silver Spring, MD 20901 | 2015-12-30 |
| Find all providers in zip 20901 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639779432 | Daniel A Mesfin | Nurse Practitioner | 14528 Fairdale Rd, Silver Spring, MD 20905-6526 | 2020-10-30 |
| 1639793763 | Sonya Zhe Chang | Nurse Practitioner | 10203 Brunett Ave, Silver Spring, MD 20901-2004 | 2020-06-04 |
| 1568095966 | Kadiatu G Kamara | Nurse Practitioner | 13700 Beauwick Ct, Silver Spring, MD 20906-3005 | 2020-02-14 |
| 1598305294 | Jemila Kemal | Nurse Practitioner | 4104 Elby St, Silver Spring, MD 20906-4438 | 2020-01-10 |
| 1831736933 | Andrea Adenike Coker | Nurse Practitioner | 10230 New Hampshire Ave Ste 103, Silver Spring, MD 20903-1422 | 2019-12-08 |
| 1235770330 | Joanna M King | Nurse Practitioner | 3455 Castle Way, Silver Spring, MD 20904-4767 | 2019-10-01 |
| 1528614245 | Mary Warrah Tarawalie | Nurse Practitioner | 3607 Pear Tree Ct Apt 23, Silver Spring, MD 20906-5506 | 2019-08-18 |
| 1851857577 | Beena Zachariah | Nurse Practitioner | 2739 Sweet Clover Ct, Silver Spring, MD 20904-1884 | 2019-02-19 |
| 1477019834 | Leslyn Joseph | Nurse Practitioner | 14208 Grand Pre Rd Apt 301, Silver Spring, MD 20906-2889 | 2019-02-11 |
| 1275007296 | Irene S Zama | Nurse Practitioner | 11120 New Hampshire Ave Ste 507, Silver Spring, MD 20904-2618 | 2019-01-12 |
| Find all providers in SILVER SPRING | ||||
| City | SILVER SPRING |
| Zip Code | 20901 |
Please comment or provide details below to improve the information on JOHANNA CATHERINE MCKENNA.
| 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.