DR. FOLASHADE R KANIMODO (NPI# 1417174889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417174889 |
Entity Type | Individual |
Full Name | DR. FOLASHADE R KANIMODO |
Credential | FNP-BC, PMHNP-BC |
Practice Address |
1700 East Cold Spring Lane University Health Center Baltimore MD 21251-4999 |
Practice Telephone | 4438853236 |
Practice Fax Number | 4438858232 |
Mailing Telephone | 4438853236 |
Mailing Fax Number | 4438858232 |
Enumeration Date | 2007-04-19 |
Last Update Date | 2020-09-11 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R104161 | MD | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1700 EAST COLD SPRING LANE UNIVERSITY HEALTH CENTER |
City | BALTIMORE |
State | MD |
Zip Code | 21251-4999 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811371016 | Kaitlyn Creznic | Specialist/Technologist | 1700 E Cold Spring Ln, Baltimore, MD 21251 | 2015-07-17 |
1437438645 | Ivis Theodore Forrester | Dietitian, Registered | 3939 Reisterstown Rd, Baltimore, MD 21251 | 2011-08-05 |
1154751584 | Morgan State University Health Center | Clinic/Center | 1700 E Cold Spring Ln, Baltimore, MD 21251-0001 | 2013-11-21 |
1427207778 | Kathy H. Chan | Physician Assistant | Morgan State University, Woolford Infirmary, Baltimore, MD 21251-0001 | 2008-09-11 |
1982176673 | National Rehabilitation Hospital, Inc. | Clinic/Center | 1700 E Cold Spring Ln, Baltimore, MD 21251-0001 | 2018-12-19 |
1073098778 | Kennedi Van Eyken | Internal Medicine | 1700 E Cold Spring Ln, Baltimore, MD 21251-0001 | 2018-09-27 |
1821468349 | Daquane Ellington | Specialist/Technologist | 1700 E Cold Spring Ln, Baltimore, MD 21251-0001 | 2015-09-26 |
1427456599 | Ron Cooper | Specialist/Technologist | 1700 E Cold Spring Ln, Athletics Department, Baltimore, MD 21251-0001 | 2014-12-05 |
1891191516 | Shanteisha Pruitt | Specialist/Technologist | 1700 E Cold Spring Ln, Hill Field House Ll119, Baltimore, MD 21251-0001 | 2014-11-06 |
1407258825 | Morgan State University | Clinic/Center | 1700 E Cold Spring Ln, Baltimore, MD 21251-0001 | 2014-09-17 |
Find all providers in zip 21251 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336748672 | Taneka Lee | Nurse Practitioner | 5415 Force Rd, Baltimore, MD 21206-4617 | 2020-10-19 |
1750996930 | Ashley Tyisha Sydnor | Nurse Practitioner | 2202 Park Ave Unit 302, Baltimore, MD 21217-4868 | 2020-09-14 |
1750992293 | Samantha Rodriguez | Nurse Practitioner | 3989 Boston St, Baltimore, MD 21224-5759 | 2020-08-10 |
1265040380 | Pathway To Wellness Healthcare Center | Nurse Practitioner | 6507 Baltimore Ave, Baltimore, MD 21222-4002 | 2020-07-14 |
1679107916 | Ugochi Ebiye | Nurse Practitioner | 6 Millwheel Ct, Baltimore, MD 21236-2548 | 2020-02-25 |
1417580168 | Tiwalola Olabisi Akinsade | Nurse Practitioner | 1496 Reisterstown Rd Ste 220, Baltimore, MD 21208-3819 | 2020-02-20 |
1457996688 | Lashawn S Scott | Nurse Practitioner | 301 Saint Paul Pl Ste 409, Baltimore, MD 21202-2165 | 2019-11-12 |
1740825041 | Rosemary Lokko | Nurse Practitioner | 2431 Jefferson St, Baltimore, MD 21205-2543 | 2019-11-10 |
1881237972 | Jennifer Lillian Mothershed | Nurse Practitioner | 9101 Franklin Square Dr Ste 212, Baltimore, MD 21237-3948 | 2019-10-22 |
1376186775 | Jessica L Mcauliffe | Nurse Practitioner | 720 Rutland Ave # 1125, Baltimore, MD 21205-2109 | 2019-10-18 |
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.