MRS. MARY JO IACOVELLI (NPI# 1275908691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275908691 |
| Entity Type | Individual |
| Full Name | MRS. MARY JO IACOVELLI |
| Credential | RN |
| Practice Address |
600 East Ordnance Road Glen Burnie MD 21060 |
| Practice Telephone | 4102224935 |
| Practice Fax Number | 4102226182 |
| Mailing Telephone | 4102224935 |
| Mailing Fax Number | 4102226182 |
| Enumeration Date | 2015-12-10 |
| Last Update Date | 2015-12-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC1500X |
Registered Nurse Specialization: Community Health |
R135783 | MD | Nursing Service Providers |
| Street Address |
600 EAST ORDNANCE ROAD |
| City | GLEN BURNIE |
| State | MD |
| Zip Code | 21060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710271028 | Anne Arundel County Dept. of Health | Clinic/Center | 600 East Ordnance Road, Glen Burnie, MD 21060 | 2011-06-03 |
| 1053719997 | Ossolita Demory | Registered Nurse | 600 East Ordnance Road, Glen Burnie, MD 21060-2200 | 2014-12-09 |
| 1508260357 | Jamie Lynn Miller | Peer Specialist | 600 East Ordnance Road, Glen Burnie, MD 21060-2200 | 2014-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841821998 | Maria De Los Angeles Alvarez | Home Health Aide | 720 Rollings Lane, Glen Burnie, MD 21060 | 2020-01-28 |
| 1124676200 | Alliance Health Services, LLC | Home Health | 313 Dark Star Way, Glen Burnie, MD 21060 | 2019-08-30 |
| 1902376577 | Karen Marie Huyssoon | Speech-Language Pathologist | 1450 Furnace Avenue, Glen Burnie, MD 21060 | 2018-11-27 |
| 1962917864 | Chantal Tchoumba | Nurse Practitioner | 7704 Abrams Ln, Glen Burnie, MD 21060 | 2017-12-13 |
| 1801124524 | Hope Chiropractic and Wellness | Chiropractor | 7517 Calais Way, Glen Burnie, MD 21060 | 2009-11-19 |
| 1669680534 | Sally Elizabeth Engel Poling | Occupational Therapist | 200 Scott Avenue, Glen Burnie, MD 21060 | 2007-05-21 |
| 1891851754 | Amy E Recce | Chiropractor | 7231 B Ritchie Hwy, Glen Burnie, MD 21060 | 2006-12-28 |
| 1386700243 | Amy & Anthony Recce Dc Pa | Chiropractor | 7231 B Ritchie Highway, Glen Burnie, MD 21060 | 2006-12-28 |
| 1306924386 | Marcus Lavelle Meadows | Optometrist | 6721 Chesapeake Center Drive, Glen Burnie, MD 21060 | 2006-11-01 |
| 1306920764 | Wal-mart Stores East, Lp | Technician/Technologist | 6721 Chesapeake Center Dr., Glen Burnie, MD 21060 | 2006-10-24 |
| Find all providers in zip 21060 | ||||
| Taxonomy Code | 163WC1500X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770709578 | Susan Renee Tokarcik | Registered Nurse | 416 A St Sw, Glen Burnie, MD 21061-3406 | 2007-04-18 |
| 1417070657 | Mariam Halicia Taherian | Registered Nurse | 791 Aquahart Road, Suite 200, Glen Burnie, MD 21061 | 2007-04-10 |
| 1912020074 | Joann Johnson Stakem | Registered Nurse | 791 Aquahart Rd Ste 200, Glen Burnie, MD 21061-3950 | 2007-04-06 |
| 1114398518 | Candice Allen | Registered Nurse | 122 Langley Road North, Suite B, Glen Burnie, MD 21060 | 2015-10-12 |
| 1023489523 | Vickey Lynn Richardson | Registered Nurse | 122 Langley Road North, Suite B, Glen Burnie, MD 21060 | 2015-10-12 |
| 1730570334 | Stephanie Diane Kerr | Registered Nurse | 122 Langley Road North, Suite B, Glen Burnie, MD 21060 | 2015-02-18 |
| 1053719997 | Ossolita Demory | Registered Nurse | 600 East Ordnance Road, Glen Burnie, MD 21060-2200 | 2014-12-09 |
| 1598010779 | Dawn Jeanette Rusen | Registered Nurse | 122 Langley Road North, Suite B, Glen Burnie, MD 21060 | 2012-07-13 |
| 1952673485 | Sarah Ann Myers | Registered Nurse | 122 Langley Road North, Suite B, Glen Burnie, MD 21060 | 2012-01-30 |
| 1104118991 | Robin Lee Baird | Registered Nurse | 122 Langley Road North, Suite B, Glen Burnie, MD 21060 | 2011-05-11 |
| Find all providers in GLEN BURNIE | ||||
| City | GLEN BURNIE |
| Zip Code | 21060 |
Please comment or provide details below to improve the information on MRS. MARY JO IACOVELLI.
| 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.