MR. EDNER CHARLES (NPI# 1396171385) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396171385 |
| Entity Type | Individual |
| Full Name | MR. EDNER CHARLES |
| Credential | PMHNP-BC |
| Practice Address |
2670 Crain Hwy Waldorf MD 20601-2806 |
| Practice Telephone | 2404192412 |
| Practice Fax Number | 2404192495 |
| Mailing Telephone | 2404192412 |
| Enumeration Date | 2013-09-23 |
| Last Update Date | 2017-12-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
R229551 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
AC001257 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
18462 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2670 CRAIN HWY |
| City | WALDORF |
| State | MD |
| Zip Code | 20601-2806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164415832 | Linda Jefferson | Internal Medicine | 2670 Crain Hwy, Suite 410, Waldorf, MD 20601-2806 | 2005-08-26 |
| 1457885709 | Southern Maryland Community Network, Inc. | Community Based Residential Treatment Facility, Mental Illness | 2670 Crain Hwy, Suite #505, Waldorf, MD 20601-2806 | 2017-04-13 |
| 1487105979 | Pathways Inc | Counselor | 2670 Crain Hwy, Suite #409, Waldorf, MD 20601-2806 | 2016-10-19 |
| 1205387792 | Pathways Inc | Community/Behavioral Health | 2670 Crain Hwy, #407, Waldorf, MD 20601-2806 | 2016-10-19 |
| 1962955328 | Pathways, Inc | Community/Behavioral Health | 2670 Crain Hwy, Suite 407, Waldorf, MD 20601-2806 | 2016-08-02 |
| 1982084802 | Rhema Life Group LLC | Social Worker | 2670 Crain Hwy, Suite 206, Waldorf, MD 20601-2806 | 2015-06-05 |
| 1033456900 | Cardiology Associates, LLC | Specialist | 2670 Crain Hwy, Suite 300, Waldorf, MD 20601-2806 | 2013-01-11 |
| 1154686533 | Pathways, Inc. | Community/Behavioral Health | 2670 Crain Hwy, Suite 409, Waldorf, MD 20601-2806 | 2012-07-11 |
| 1750645149 | Tina Lorice Penny | Physical Therapist | 2670 Crain Hwy, Waldorf, MD 20601-2806 | 2012-06-29 |
| 1922374651 | Southern Maryland Community Network Inc | Case Management | 2670 Crain Hwy, Suite 505, Waldorf, MD 20601-2806 | 2012-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154960128 | Sarian Beverly Wilson | Nurse Practitioner | 2203 Kayhill Dr, Waldorf, MD 20601 | 2019-12-23 |
| 1447778055 | Macy Alexandra Forman | Pharmacist | 3061 Tecnology Place, Waldorf, MD 20601 | 2017-09-04 |
| 1922523919 | Gregoire Mcclain | Counselor | Pathways Inc 2670 Crain Hwy, Suite 409, Waldorf, MD 20601 | 2017-08-10 |
| 1477091866 | Lutisse Cooper | Home Health Aide | 2520 Breakwater Court, Waldorf, MD 20601 | 2017-02-06 |
| 1609321637 | Kierra Jordan | Counselor | 2255 Crain Hwy Ste 102, Waldorf, MD 20601 | 2016-08-19 |
| 1215286828 | Linda Kline-lau | Counselor | 2255 Crain Highway, Waldorf, MD 20601 | 2012-08-29 |
| 1205124609 | Marian E. Kirk | Physical Therapist | 2960 Technology Place, Suite 110, Waldorf, MD 20601 | 2011-07-19 |
| 1932345238 | Patient First Maryland Medical Group | Non-Pharmacy Dispensing Site | 2855 Crain Highway, Waldorf, MD 20601 | 2008-12-17 |
| 1720150741 | Marianna Jeanne Patente | Counselor | 2670 Crain Highway, Suite #401, Waldorf, MD 20601 | 2006-11-14 |
| 1407940968 | Harold J. Pincus | Dentist | 2955 Crain Hwy., Waldorf, MD 20601 | 2006-10-02 |
| Find all providers in zip 20601 | ||||
| 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 |
|---|---|---|---|---|
| 1033718762 | White Plains Primary Care | Nurse Practitioner | 50 Post Office Rd Ste 304, Waldorf, MD 20602-3704 | 2020-10-23 |
| 1245745918 | Edcha Behavioral Health, LLC | Nurse Practitioner | 2670 Crain Hwy Ste 401, Waldorf, MD 20601-2818 | 2017-12-04 |
| 1659413615 | Nicola Clarke Wallen | Nurse Practitioner | 3261 Old Washington Rd Ste 2020, Waldorf, MD 20602-3231 | 2007-02-13 |
| 1801435649 | Tashekia Williamson | Nurse Practitioner | 3261 Old Washington Rd Ste 1040, Waldorf, MD 20602-3244 | 2019-12-26 |
| 1972160406 | Cross Behavioral Consulting | Nurse Practitioner | 2670 Crain Hwy Ste 501, Waldorf, MD 20601-2819 | 2019-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821697533 | Brighter Days Recovery Center | Nurse Practitioner | 2439 E Lafayette Ave, Baltimore, MD 21213-2562 | 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 |
| 1194331934 | Nkechi Patricia Jiabana | Nurse Practitioner | 8511 Harford Road, Parkville, MD 21234 | 2020-09-17 |
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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.