BLOSSOM AND GROW WELLNESS CENTER (NPI# 1467075713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467075713 |
| Entity Type | Organization |
| Organization Name | BLOSSOM AND GROW WELLNESS CENTER |
| Practice Address |
4701 Sangamore Rd Suite 100 N 1008 Bethesda MD 20816-2081 |
| Mailing Address |
2917 Silver Hill Ave Gwynn Oak MD 21207-6855 |
| Practice Telephone | 2403662300 |
| Mailing Telephone | 2039085331 |
| Enumeration Date | 2020-05-21 |
| Last Update Date | 2020-05-21 |
| Authorized Official Name | ASHLEY KANSINALLY (OWNER) |
| Authorized Official Telephone | 2039085331 |
| Authorized Official Credential | LCSW-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Street Address |
4701 SANGAMORE RD SUITE 100 N 1008 |
| City | BETHESDA |
| State | MD |
| Zip Code | 20816-2081 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023009974 | Sandra M Delistathis | Internal Medicine | 4701 Sangamore Rd, Unite N270, Bethesda, MD 20816-2508 | 2005-10-31 |
| 1669083036 | Nai Saturn Eastern LLC | Durable Medical Equipment & Medical Supplies | 4701 Sangamore Rd, Bethesda, MD 20816-2508 | 2020-08-11 |
| 1467081745 | Elizabeth Jane Meaney | Physician Assistant | 4701 Sangamore Rd, Bethesda, MD 20816-2508 | 2020-04-07 |
| 1669965539 | Kate Mcspadden Leinweber | Social Worker | 4701 Sangamore Rd, Bethesda, MD 20816-2508 | 2018-06-14 |
| 1649767864 | Duong Nguyen | Pharmacist | 4701 Sangamore Rd, Bethesda, MD 20816-2508 | 2018-04-13 |
| 1215470968 | Katie Morra | Nutritionist | 4701 Sangamore Rd, N270, Bethesda, MD 20816-2508 | 2016-11-29 |
| 1285185637 | Aminah Keats | Nutritionist | 4701 Sangamore Rd, Ste N270, Bethesda, MD 20816-2508 | 2016-10-20 |
| 1932658465 | Berre Burch | Psychologist | 4701 Sangamore Rd, Bethesda, MD 20816-2508 | 2016-09-26 |
| 1326596974 | Medbalance, LLC | Internal Medicine | 4701 Sangamore Rd, Suite N270, Bethesda, MD 20816-2508 | 2016-09-12 |
| 1770038887 | Promenade Primary Care LLC | Nurse Practitioner | 4701 Sangamore Rd, Suite S207, Bethesda, MD 20816-2508 | 2016-08-18 |
| Find all providers in the same location | ||||
| 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 | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396059879 | Ishtiaq A Malik, Md PC | Clinic/Center | 8880 Bradley Blvd, Bethesda, MD 20817-2607 | 2010-07-27 |
| 1639796428 | Scholar Medical Group Md LLC | Clinic/Center | 3 Bethesda Metro Ctr Ste 700, Bethesda, MD 20814-6300 | 2020-06-29 |
| 1548760770 | Complexions Medical Aesthetics | Clinic/Center | 4905 Del Ray Ave Ste 301, Bethesda, MD 20814-2558 | 2018-02-14 |
| 1003335621 | Premise Health of Maryland Medical P C | Clinic/Center | 6801 Rockledge Dr, Bethesda, MD 20817-1803 | 2017-09-14 |
| 1780956532 | Mobile Medical Care Inc | Clinic/Center | 9309 Old Georgetown Rd, Bethesda, MD 20814-1620 | 2012-02-08 |
| 1356659122 | Erik S. Kass, M.d., Professional Corporation | Clinic/Center | 7986 Old Georgetown Rd, Suite B, Bethesda, MD 20814-2458 | 2010-09-15 |
| 1225361751 | Suburban Hospital, Inc. | Clinic/Center | 6420 Rockledge Dr, Suite 4100, Bethesda, MD 20817-7837 | 2009-09-16 |
| 1104006816 | Lerner Vision Care, LLC | Clinic/Center | 7101 Wisconsin Ave Ste 112, Bethesda, MD 20814-4805 | 2007-11-09 |
| 1548460710 | Chiroaid, LLC | Clinic/Center | 4641 Montgomery Ave, Suite 410, Bethesda, MD 20814-3488 | 2007-07-24 |
| 1356464234 | Shahnaz Motamedi | Clinic/Center | 8901 Wisconsin Ave, Bethesda, MD 20889-0001 | 2007-04-07 |
| 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.