CARINE GOUETSO NDEKO (NPI# 1306321443) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306321443 |
| Entity Type | Individual |
| Full Name | CARINE GOUETSO NDEKO |
| Credential | CRNP-ADULT |
| Practice Address |
9135 Piscataway Rd Clinton MD 20735-2549 |
| Mailing Address |
23 Joyceton Ter Upper Marlboro MD 20774-1490 |
| Practice Telephone | 3018682555 |
| Mailing Telephone | 3012133306 |
| Enumeration Date | 2018-09-25 |
| Last Update Date | 2018-09-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
R196845 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
9135 PISCATAWAY RD |
| City | CLINTON |
| State | MD |
| Zip Code | 20735-2549 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215934922 | Jay Stuart Copeland | Urology | 9135 Piscataway Rd, Ste 330, Clinton, MD 20735-2549 | 2005-07-07 |
| 1588150262 | Henry Tama | Nurse Practitioner | 9135 Piscataway Rd, Clinton, MD 20735-2549 | 2018-07-06 |
| 1629595533 | Michon Lynette Powell | Nutritionist | 9135 Piscataway Rd, Clinton, MD 20735-2549 | 2017-08-23 |
| 1598281818 | Muhammad Abdul-raheem | Psychologist | 9135 Piscataway Rd, Clinton, MD 20735-2549 | 2017-08-17 |
| 1144779158 | Mary Kathryn Proctor | Registered Nurse | 9135 Piscataway Rd, Suite 420, Clinton, MD 20735-2549 | 2016-10-03 |
| 1568823268 | Hema Venkata Naga Rajesh Vemuri | Physical Therapist | 9135 Piscataway Rd, Ste 305, Clinton, MD 20735-2549 | 2016-03-09 |
| 1932569050 | Melissa Luttrell | Occupational Therapist | 9135 Piscataway Rd, 305, Clinton, MD 20735-2549 | 2016-03-02 |
| 1588051155 | Premier Orthopedics, P.a. | Orthopaedic Surgery | 9135 Piscataway Rd, Suite 300, Clinton, MD 20735-2549 | 2015-04-22 |
| 1710373576 | Ashley Watkins | Counselor | 9135 Piscataway Rd, Suite 245, Clinton, MD 20735-2549 | 2015-04-08 |
| 1427440882 | Arise Therapy and Life Coaching Center,llc | Counselor | 9135 Piscataway Rd, 410, Clinton, MD 20735-2549 | 2015-02-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760940456 | Elise Olson | Occupational Therapist | 9135 Piscataway Rd, Suite 305, Clinton, MD 20735 | 2019-03-12 |
| 1437651742 | Total You Integrative Healthcare Inc | Clinic/Center | 9135 Piscataway Rd Ste 410, Clinton, MD 20735 | 2018-03-02 |
| 1386193233 | Benedicta C Osamor | Home Health Aide | 6808 Purple Lilac Ln, Clinton, MD 20735 | 2016-10-03 |
| 1669926309 | Frankline Ngozi Obi I | Home Health Aide | 8111 Highland Meadows Dr, Clinton, MD 20735 | 2016-08-11 |
| 1770952459 | Adventures One, Inc. | Clinic/Center | 7121 Old Alexandria Ferry Rd., Clinton, MD 20735 | 2015-09-23 |
| 1730574831 | Lindsey Degeorge | Emergency Medicine | 7503 Surratts Rd Dept Of, Clinton, MD 20735 | 2015-04-06 |
| 1316341860 | Margaret Laurence-whitlock | Speech-Language Pathologist | 5807 Terence Dr., Laurence Learning Center, Clinton, MD 20735 | 2014-10-13 |
| 1699103622 | Dcps | Social Worker | 5504 Trout Run Rd, Clinton, MD 20735 | 2013-10-30 |
| 1902232614 | Rafael Antonio Acosta | Dentist | 7905 Malcolm Rd Ste 300, Clinton, MD 20735 | 2013-09-25 |
| 1407135874 | Richelle Wilson Harvey | Occupational Therapist | 8202 Shackelford Way, Clinton, MD 20735 | 2011-08-16 |
| Find all providers in zip 20735 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
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|---|---|---|---|---|
| 1437796885 | May Salvacion Alvarez Magistrado | Nurse Practitioner | 29 Hillside Ct, Clinton, NJ 08809-1136 | 2019-12-04 |
| 1932689007 | Irene Chidiebere Ndukwe | Nurse Practitioner | 10415 Inez Pl, Clinton, MD 20735-3733 | 2018-08-18 |
| 1255998944 | Simpleclinic Pllc | Nurse Practitioner | 1515 Sunset Ave, Clinton, NC 28328-3827 | 2019-05-29 |
| 1184170854 | Alexis Grabow Strahan | Nurse Practitioner | 106 Clinton Pkwy, Clinton, MS 39056 | 2016-08-31 |
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|---|---|---|---|---|
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| 1407460421 | Nkechi Okeh | Nurse Practitioner | 9603 Glenkirk Way, Bowie, MD 20721-2998 | 2020-09-08 |
| 1780298588 | Andreli Professional Advising and Resources, LLC | Nurse Practitioner | 9730 Morningview Cir, Perry Hall, MD 21128-9024 | 2020-08-31 |
| 1194336941 | Phoebe Vuwansi Chongong | Nurse Practitioner | 10300 Crystal Brook Ct, Upper Marlboro, MD 20772-6687 | 2020-08-14 |
| 1306457122 | Trusted and Innovative Inc | Nurse Practitioner | 4600 Powder Mill Rd Ste 450, Beltsville, MD 20705-2686 | 2020-08-14 |
| 1225653611 | Zynith Health Care & Associates | Nurse Practitioner | 4061 Powder Mill Rd Ste 101, Beltsville, MD 20705-3156 | 2020-06-11 |
| 1124640974 | Liberty Family Care | Nurse Practitioner | 8515 Liberty Rd Ste B, Randallstown, MD 21133-4832 | 2020-05-15 |
| 1437785706 | Hajia M Nagaiya | Nurse Practitioner | 3525 Courtleigh Dr, Baltimore, MD 21244-2205 | 2020-03-19 |
| 1578195475 | Baltimore Healthcare At Home, LLC | Nurse Practitioner | 9501 Branchleigh Rd, Randallstown, MD 21133-2056 | 2020-02-07 |
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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.