HOLISTIC HEALTH AND WELLNESS MEDICAL SPA (NPI# 1427505825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427505825 |
| Entity Type | Organization |
| Organization Name | HOLISTIC HEALTH AND WELLNESS MEDICAL SPA |
| Practice Address |
1450 Mercantile Ln Suite 221 Largo MD 20774-5376 |
| Practice Telephone | 2402806267 |
| Practice Fax Number | 3017730050 |
| Mailing Telephone | 2402806267 |
| Mailing Fax Number | 3017730050 |
| Enumeration Date | 2016-09-02 |
| Last Update Date | 2016-09-02 |
| Authorized Official Name | MRS. SONYA COLCLOUGH (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 2402806267 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
R103000 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1450 MERCANTILE LN SUITE 221 |
| City | LARGO |
| State | MD |
| Zip Code | 20774-5376 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720070261 | David A Gooray | Internal Medicine | 1450 Mercantile Ln, Suite 217, Largo, MD 20774-5376 | 2005-08-19 |
| 1497287361 | Holistic Health & Wellness Medical Spa | Physical Therapist | 1450 Mercantile Ln, 221, Largo, MD 20774-5376 | 2017-03-30 |
| 1831640465 | Anne Arundel Physician Group LLC | Dietitian, Registered | 1450 Mercantile Ln, Suite 111, Largo, MD 20774-5376 | 2016-10-19 |
| 1972903201 | Heritage Pediatrics, Inc. | Pediatrics | 1450 Mercantile Ln, Suite #217, Largo, MD 20774-5376 | 2014-08-22 |
| 1316372931 | Anne Arundel Physician Group, LLC | Internal Medicine | 1450 Mercantile Ln, Suite 111, Largo, MD 20774-5376 | 2013-09-13 |
| 1679821458 | Meetu Agrawal | Internal Medicine | 1450 Mercantile Ln, Suite 111, Largo, MD 20774-5376 | 2012-08-27 |
| 1316232135 | Jatin R Matta | Physician Assistant | 1450 Mercantile Ln, Suite 217, Largo, MD 20774-5376 | 2011-06-09 |
| 1750696779 | Susan E Jenkins, M.d.p.a. | Obstetrics & Gynecology | 1450 Mercantile Ln, Suite 117, Largo, MD 20774-5376 | 2010-08-13 |
| 1922249200 | Lisa V. Thompson, Dds, LLC | Clinic/Center | 1450 Mercantile Ln, Suite 207a, Largo, MD 20774-5376 | 2009-03-16 |
| 1992998975 | East Coast Gastroenterology LLC | Pathology | 1450 Mercantile Ln, Suite 217, Largo, MD 20774-5376 | 2007-08-22 |
| Find all providers in the same location | ||||
| 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 | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477197861 | Eleanor Emong Manera | Nurse Practitioner | 10774 125th Ave, Largo, FL 33778-2712 | 2019-10-30 |
| 1023639101 | Sandra Neeld | Nurse Practitioner | 201 14th St Sw, Largo, FL 33770-3133 | 2020-04-30 |
| 1356825632 | Maximillian Luke Covert | Nurse Practitioner | 1301 2nd Ave Sw Ste 315, Largo, FL 33770-3120 | 2018-09-21 |
| 1730581331 | Yolanda E Lorenzo | Nurse Practitioner | 12150 Seminole Blvd, Largo, FL 33778-2833 | 2014-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003416256 | Muriel Monsalud | Nurse Practitioner | 103 W Ostend St, Baltimore, MD 21230-3710 | 2020-10-27 |
| 1891307575 | Aparna Cynthia Nallala Anil | Nurse Practitioner | 75 Thomas Johnson Dr Ste I, Frederick, MD 21702-4895 | 2020-08-23 |
| 1285243832 | Jaspreet Kaur Garriques | Nurse Practitioner | 22 S Greene St # N8e10, Baltimore, MD 21201-1590 | 2020-07-29 |
| 1386267011 | Ann Acosta | Nurse Practitioner | 2014 English Oak Ct, Waldorf, MD 20601-4505 | 2020-05-28 |
| 1205455029 | Latoya Harvey | Nurse Practitioner | 8408 Adler Ct, Millersville, MD 21108-1771 | 2020-04-11 |
| 1013546100 | Issa Tew Lo | Nurse Practitioner | 6001 Muncaster Mill Rd, Rockville, MD 20855-1622 | 2020-04-02 |
| 1891328779 | Sergio Arellano-ayala | Nurse Practitioner | 22 S Greene St # S4d03, Baltimore, MD 21201-1544 | 2020-02-19 |
| 1518599844 | Hibret Kassa Yifru | Nurse Practitioner | 102 Abbey Manor Ter, Brookeville, MD 20833-3291 | 2020-02-05 |
| 1710518402 | Conny Nganga | Nurse Practitioner | 10605 Meridian Hill Way, Upper Marlboro, MD 20772-4847 | 2020-01-31 |
| 1689204604 | Nathaniel Darway | Nurse Practitioner | 500 John Ave, Essex, MD 21221-3344 | 2020-01-17 |
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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.