MRS. NNEKA BAGWELL (NPI# 1417436684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417436684 |
| Entity Type | Individual |
| Full Name | MRS. NNEKA BAGWELL |
| Credential | APRN, FNP |
| Practice Address |
13806 Shannock Ln Upper Marlboro MD 20774-8468 |
| Practice Telephone | 2027162978 |
| Mailing Telephone | 2027162978 |
| Enumeration Date | 2018-08-08 |
| Last Update Date | 2018-08-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
188563 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
13806 SHANNOCK LN |
| City | UPPER MARLBORO |
| State | MD |
| Zip Code | 20774-8468 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922637156 | Marie Charlotte Teboutsou Tsodzou | Nurse Practitioner | 9317 Lavall Drive, Upper Marlboro, MD 20774 | 2020-04-08 |
| 1467093443 | Richland Support Services Corp. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11551 Joyceton Drive, Upper Marlboro, MD 20774 | 2019-10-01 |
| 1770134124 | Alan L Kahn | Counselor | 301 Largo Rd., Largo, MD 20774 | 2019-09-26 |
| 1619522034 | Francisca Ifeoma Alintah | Registered Nurse | 511 Dennis Magruder Dr., Upper Marlboro, MD 20774 | 2019-08-02 |
| 1609337146 | Crystal Osuchukwu | Counselor | 1300 Mccormick Dr, Upper Marlboro, MD 20774 | 2019-03-27 |
| 1861968489 | Collaborative Concepts of Maryland | Counselor | 1400 Mercantile Lane, Suite 208, Largo, MD 20774 | 2018-10-22 |
| 1073097622 | Triple Angels Homecare Services, Inc. | In Home Supportive Care | 1210 Dixie Bowie Way, Upper Marlboro, MD 20774 | 2018-09-19 |
| 1922589654 | Optimum Resource Services, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 711 Harry S. Truman Dr, Unit #105, Largo, MD 20774 | 2018-08-21 |
| 1811475254 | Kolawole Richard Olatunde | Home Health Aide | 11405 Villa Court, Upper Marlboro, MD 20774 | 2018-07-28 |
| 1548747769 | Tiara Williams | Counselor | 15207 Harriet Clotilda Way, Upper Marlboro, MD 20774 | 2018-07-20 |
| Find all providers in zip 20774 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306469457 | Completely Centered Health LLC | Nurse Practitioner | 1116 Mandarin Dr, Upper Marlboro, MD 20774-7024 | 2020-05-23 |
| 1922637156 | Marie Charlotte Teboutsou Tsodzou | Nurse Practitioner | 9317 Lavall Drive, Upper Marlboro, MD 20774 | 2020-04-08 |
| 1306472717 | Tiffany Gladys Dirickson-ford | Nurse Practitioner | 14638 Hawley Ln, Upper Marlboro, MD 20774-8880 | 2020-03-17 |
| 1760022958 | Keri Daniel | Nurse Practitioner | 9723 Frank Tippett Rd, Upper Marlboro, MD 20772 | 2020-01-15 |
| 1154962157 | Monique Deon Johnson | Nurse Practitioner | 39 Staton Dr, Upper Marlboro, MD 20774-1755 | 2019-10-01 |
| 1184278947 | Laura Nwokeafor | Nurse Practitioner | 15601 Humberside Way, Upper Marlboro, MD 20774-8050 | 2019-07-30 |
| 1740847805 | Celestina Ojirinnaka | Nurse Practitioner | 2714 Lake Forest Dr, Upper Marlboro, MD 20774-8854 | 2019-05-23 |
| 1417429929 | Henrietta Chikere | Nurse Practitioner | 9712 Teakwood Dr, Upper Marlboro, MD 20774-2294 | 2018-12-21 |
| 1770066086 | Telisha Johnson | Nurse Practitioner | 7600 Se Crain Hwy, Upper Marlboro, MD 20772-4232 | 2018-09-12 |
| 1376048348 | Marie Fayette Charles | Nurse Practitioner | 2607 Beech Orchard Ln, Upper Marlboro, MD 20774-8851 | 2018-03-29 |
| Find all providers in UPPER MARLBORO | ||||
| City | UPPER MARLBORO |
| Zip Code | 20774 |
Please comment or provide details below to improve the information on MRS. NNEKA BAGWELL.
| 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.