BRYAN DEVAUGHN (NPI# 1356804280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356804280 |
Entity Type | Individual |
Full Name | BRYAN DEVAUGHN |
Practice Address |
1120 N Charles St Ste 400 Baltimore MD 21201-5594 |
Mailing Address |
5108 Plymouth Rd Baltimore MD 21214-2151 |
Practice Telephone | 4103750032 |
Enumeration Date | 2019-04-08 |
Last Update Date | 2019-04-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225700000X | Massage Therapist | R02802 | MD | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
1120 N CHARLES ST STE 400 |
City | BALTIMORE |
State | MD |
Zip Code | 21201-5594 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538705033 | Franka N Ede | Massage Therapist | 1120 N Charles St Ste 400, Baltimore, MD 21201-5594 | 2019-11-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518585470 | Meshref Ayed Alshehri | Student in an Organized Health Care Education/Training Program | 22 S. Greene Street, Room N3e09, Baltimore, MD 21201 | 2020-07-08 |
1306462411 | Michael Julian Wong | Student in an Organized Health Care Education/Training Program | University of Maryland, Department of Anesthesiology, 22 S Green St, S11b, Baltimore, MD 21201 | 2020-06-24 |
1740817733 | Martha Kaitlyn Coghlan | Student in an Organized Health Care Education/Training Program | Ummc Ob/gyn, 22 S. Greene St., Baltimore, MD 21201 | 2020-03-27 |
1629606637 | Taylor Renee Kai | Student in an Organized Health Care Education/Training Program | University of Maryland, 22 S. Greene Street, Room N3e09, Baltimore, MD 21201 | 2020-03-27 |
1295362697 | Brittany A Oster | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street 6th Floor, Suite 300, Baltimore, MD 21201 | 2020-03-25 |
1346877735 | Kayvon Michael Mobarakeh | Student in an Organized Health Care Education/Training Program | University of Maryland Department of Anesthesiology, 22 S Greene St, S11c, Baltimore, MD 21201 | 2020-03-25 |
1598392284 | Zachary Allan Hagen | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street, 6th Flr., Suite 200, Baltimore, MD 21201 | 2020-03-24 |
1700430055 | Jaime Semchuk | Student in an Organized Health Care Education/Training Program | 737 West Lombard, Baltimore, MD 21201 | 2019-07-25 |
1952861619 | Zachary Daniel Sanford | Student in an Organized Health Care Education/Training Program | 22 S Greene Street S8b12, Baltimore, MD 21201 | 2019-03-20 |
1114487840 | Spencer Sykes Lovegrove | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street, Sixth Floor, Suite 200, Baltimore, Sixth Floor, Suite 200, Baltimore, MD 21201 | 2019-03-20 |
Find all providers in zip 21201 |
Taxonomy Code | 225700000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Massage Therapist |
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447850284 | Maxine Nguyen | Massage Therapist | 2725 Theresa Ln, Baltimore, MD 21227-3554 | 2020-10-30 |
1740887496 | Ariel Bailey | Massage Therapist | 3600 Northway Dr, Baltimore, MD 21234-7927 | 2020-10-06 |
1770190258 | Barbara Bailey | Massage Therapist | 3342 Mondawmin Ave, Baltimore, MD 21216-2319 | 2020-09-28 |
1285265892 | Erin Kilduff | Massage Therapist | 1503a Old Eastern Ave, Baltimore, MD 21221-3617 | 2020-02-01 |
1568092997 | Michele Renee Solloway | Massage Therapist | 3021 E Baltimore St, Baltimore, MD 21224-1349 | 2020-01-24 |
1366000499 | Amanda Carey Everett | Massage Therapist | 1637 Eastern Ave, Baltimore, MD 21231-2333 | 2019-06-04 |
1619533718 | Aliya Yasmeen Baskerville | Massage Therapist | 1047 S Charles St, Baltimore, MD 21230-4007 | 2019-05-14 |
1154883544 | Oluwatoyin Amanda Akintilo | Massage Therapist | 3808 Callaway Ave, Apt A, Baltimore, MD 21215-7103 | 2019-04-03 |
1346709920 | Lamar Bey Matthews | Massage Therapist | 1120 N Charles St Ste 105-107, Baltimore, MD 21201-5592 | 2019-03-13 |
1497227359 | Kenya Sabrina Lane | Massage Therapist | 3507 W Belvedere Ave, Baltimore, MD 21215-5802 | 2018-12-17 |
Find all providers in BALTIMORE |
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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.