GGSKINLASERHAIR (NPI# 1467051409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467051409 |
| Entity Type | Organization |
| Organization Name | GGSKINLASERHAIR |
| Practice Address |
4701 Sangamore Rd Ste S207 Bethesda MD 20816-2529 |
| Practice Telephone | 2026847167 |
| Practice Fax Number | 2404830441 |
| Mailing Telephone | 2026847167 |
| Enumeration Date | 2020-10-21 |
| Last Update Date | 2020-10-21 |
| Authorized Official Name | KELLY GOODMAN (NURSE PRACTIONER / OWNER) |
| Authorized Official Telephone | 2026847167 |
| Authorized Official Credential | NP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4701 SANGAMORE RD STE S207 |
| City | BETHESDA |
| State | MD |
| Zip Code | 20816-2529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609030022 | Abigail S Burke | Nurse Practitioner | 4701 Sangamore Rd Ste S207, Bethesda, MD 20816-2529 | 2008-07-15 |
| 1194335919 | Samantha Perry | Nurse Practitioner | 4701 Sangamore Rd Ste S207, Bethesda, MD 20816-2529 | 2020-08-06 |
| 1811529381 | Ivy Tidwell Prothro | Nurse Practitioner | 4701 Sangamore Rd Ste S207, Bethesda, MD 20816-2529 | 2020-02-12 |
| 1811536568 | Carolyn Brown | Family Medicine | 4701 Sangamore Rd Ste S207, Bethesda, MD 20816-2529 | 2019-12-29 |
| 1659852580 | Kelly Care, LLC | Nurse Practitioner | 4701 Sangamore Rd Ste S207, Bethesda, MD 20816-2529 | 2018-08-28 |
| 1548690639 | Lisa Lindstrom | Nurse Practitioner | 4701 Sangamore Rd Ste S207, Bethesda, MD 20816-2529 | 2013-11-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881257756 | Marie Theresa Newman | Registered Nurse | 6211 Winnebago Road, Bethesda, MD 20816 | 2019-04-17 |
| 1336695600 | Corewood Care LLC | In Home Supportive Care | 4701 Sangamore Rd Ste S225, Bethesda, MD 20816 | 2016-08-28 |
| 1184077786 | Bobby Mann | Dentist | 4701 Sangamore Rd Ste 250, Bethesda, MD 20816 | 2016-07-19 |
| 1538572755 | Bethesda-chevy Chase Assessment and Counseling Associates | Social Worker | 4701 Sangamore Rd., #s235, Bethesda, MD 20816 | 2014-06-05 |
| 1982022430 | Kate Poropatich | Student in an Organized Health Care Education/Training Program | 5710 Springfield Dr., Bethesda, MD 20816 | 2014-04-02 |
| 1134567373 | Edwin Gordon | Specialist | 5821 Osceola Rd, Bethesda, MD 20816 | 2013-06-10 |
| 1336470335 | Robin Andrea Ely | Family Medicine | 4633 River Road, Bethesda, MD 20816 | 2010-01-15 |
| 1861630220 | Cheryl Sladkin Altschuler | Pediatrics | 7307 Macarthur Blvd, Suite 200, Bethesda, MD 20816 | 2009-01-22 |
| 1689869323 | Monroe Pray Jr. | Psychiatry & Neurology | 4915 Earlston Dr, Bethesda, MD 20816 | 2007-09-06 |
| 1154426989 | Maryland Cvs Pharmacy LLC | Pharmacy | 4601a Sangamore Rd, Bethesda, MD 20816 | 2006-09-14 |
| Find all providers in zip 20816 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558961250 | Cassandra Jordan Holmes | Nurse Practitioner | 10 Center Drive Lcim Niaid Nih, Bethesda, MD 20892-0001 | 2020-10-30 |
| 1568748564 | Margaret Sullivan Whelpley | Nurse Practitioner | 10 Center Drive Bldg 10-crc Rm 5-1462, Bethesda, MD 20892 | 2011-10-24 |
| 1457630774 | Shelly R Smith | Nurse Practitioner | 9000 Rockville Pike Nih Bldg 10 Rm 3n 210, Bethesda, MD 20892-0001 | 2011-08-04 |
| 1780838078 | Meghan Clay Punda | Nurse Practitioner | 6410 Rockledge Dr Ste 660, Bethesda, MD 20817-1915 | 2008-11-12 |
| 1255582953 | Kathie Crissey Bronson | Nurse Practitioner | National Institutes of Health Bldg 10 Rm 1c550, 10 Center Dr, Bethesda, MD 20892-0001 | 2008-10-01 |
| 1265507107 | Anna Maria Sam | Nurse Practitioner | 6700 Wisconsin Ave, Minuteclinic LLC, Bethesda, MD 20815-5302 | 2006-11-22 |
| 1427147057 | Amanda Sue Bridges | Nurse Practitioner | 5413w Cedar Ln 203c, Bethesda, MD 20814-1527 | 2006-10-12 |
| 1649200825 | Wendy Wang De Silva | Nurse Practitioner | 7758 Wisconsin Ave, Suite 211, Bethesda, MD 20814-3530 | 2006-07-04 |
| 1427676717 | Lindsay Czajkowski | Nurse Practitioner | 9000 Rockville Pike, Bethesda, MD 20892-0003 | 2020-07-13 |
| 1831725696 | Sarah Michelle Rubin | Nurse Practitioner | 10215 Fernwood Rd Ste 630, Bethesda, MD 20817-1184 | 2020-03-12 |
| Find all providers in BETHESDA | ||||
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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.