ANDREA MARIA KELLEY-FREEMAN (NPI# 1477974277) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477974277 |
| Entity Type | Individual |
| Full Name | ANDREA MARIA KELLEY-FREEMAN |
| Other Name | ANDREA MARIA KELLEY-FREEMAN |
| Credential | M.S. |
| Practice Address |
8737 Brooks Dr Ste 108 Easton MD 21601-7474 |
| Practice Telephone | 4108185649 |
| Practice Fax Number | 4108195691 |
| Mailing Telephone | 8008672395 |
| Mailing Fax Number | 4104430842 |
| Enumeration Date | 2013-12-20 |
| Last Update Date | 2019-08-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | LC8776 | MD | Behavioral Health & Social Service Providers |
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LCA2304 | MD | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
LC8776 | MD | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
LCA2304 | MD | Behavioral Health & Social Service Providers |
| N | 101YS0200X |
Counselor Specialization: School |
LC8776 | MD | Behavioral Health & Social Service Providers |
| N | 405300000X | Prevention Professional | LCA2304 | MD | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 514 Poplar St, Cambridge, MD 216131834 | 8008672395 | 4104430842 |
| 2324 West Zion, Suite 112, Salisbury, MD 21801 | 8008672395 | 4104430842 |
| Street Address |
8737 BROOKS DR STE 108 |
| City | EASTON |
| State | MD |
| Zip Code | 21601-7474 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558612010 | Jessica Hart Bass | Counselor | 8737 Brooks Dr Ste 108, Easton, MD 21601-7474 | 2012-09-25 |
| 1326680091 | Andrea Dixon | Social Worker | 8737 Brooks Dr Ste 108, Easton, MD 21601-7474 | 2019-10-14 |
| 1235790783 | Daphime Jackson | Counselor | 8737 Brooks Dr Ste 108, Easton, MD 21601-7474 | 2019-06-25 |
| 1902462427 | Lifes Energy Wellness Center Inc. | Counselor | 8737 Brooks Dr Ste 108, Easton, MD 21601-7474 | 2019-05-10 |
| 1679139125 | Nicole Morris | Counselor | 8737 Brooks Dr Ste 108, Easton, MD 21601-7474 | 2019-05-09 |
| 1811486962 | Lifes Energy Wellness Center Inc. | Registered Nurse | 8737 Brooks Dr Ste 108, Suite 108, Easton, MD 21601-7474 | 2018-05-04 |
| 1134636038 | Kathryn C Norman | Counselor | 8737 Brooks Dr Ste 108, Easton, MD 21601-7474 | 2018-01-02 |
| 1063840262 | Lateshia Jackson | Nurse Practitioner | 8737 Brooks Dr Ste 108, Easton, MD 21601-7474 | 2013-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588205215 | Jodi Windsor Kindt | Nurse Practitioner | Aamg Talbot Primary Care, 28438 Marlboro Avenue, Easton, MD 21601 | 2019-10-03 |
| 1902466998 | Christina Deleon | Physician Assistant | 403 Marvel Court, Easton, MD 21601 | 2019-06-20 |
| 1710458583 | Patricia Vilani | Occupational Therapy Assistant | 12 Magnolia, Easton, MD 21601 | 2018-12-05 |
| 1538687702 | Kristin Dabbs Wilkerson | Counselor | 29520 Canvasback Drive, Easton, MD 21601 | 2017-09-07 |
| 1356869978 | Angela Lynn Rutherford | Physical Therapy Assistant | 610 Dutchman's Ln, Easton, MD 21601 | 2017-09-04 |
| 1851842389 | Myeyedr Optometry of Maryland, LLC | Optometrist | 28522 Marlboro Ave, Ste A, Easton, MD 21601 | 2016-10-19 |
| 1659721991 | Lauren Strady | Pediatrics | 500 Cadmus Ln Ste 210, Easton, MD 21601 | 2016-06-17 |
| 1194174391 | Statcare Group IIi, PC | Clinic/Center | 28522-c Marlboro Avenue, Easton, MD 21601 | 2016-06-08 |
| 1245684224 | Christina M Ball | Nurse Practitioner | 545 Cynwood Drive, Easton, MD 21601 | 2016-04-15 |
| 1205220274 | Rebecca Ann Ruby Ailstock | Midwife | 508 Idlewild Ave Ste 3, Easton, MD 21601 | 2015-03-26 |
| Find all providers in zip 21601 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215554233 | Scott T Reiman | Counselor | 1224 Whitehall Ave, Easton, PA 18045-5621 | 2020-06-26 |
| 1063739738 | Nooksack Central Management System | Counselor | 3003 Cabin Creek Road, Easton, WA 98925 | 2010-04-21 |
| 1164694410 | Cornelius Edwards | Counselor | 10 S Hanson St, Easton, MD 21601-3010 | 2008-03-27 |
| 1407042336 | Kim Michelle Chase | Counselor | 21 N Hanson St Ste 99-d, Easton, MD 21601-3144 | 2007-09-25 |
| 1891913737 | Trisha Andress | Counselor | 301 Bay St Ste 307, Easton, MD 21601-2796 | 2007-04-24 |
| 1952442238 | Talbot County Health Department Addictions Program | Counselor | 301 Bay Street, Suite 307, Easton, MD 21601-2796 | 2007-02-09 |
| 1083729602 | George M Cody | Counselor | 10 S Hanson St Ste 30, Easton, MD 21601-3078 | 2006-08-21 |
| 1144280389 | Sharon Virginia Elwell | Counselor | 1901 Hay Ter Lowr Level6, Easton, PA 18042 | 2006-03-23 |
| 1760009815 | Tyese Lorraine Aungst | Counselor | 241 N 13th St, Easton, PA 18042-3211 | 2020-07-05 |
| 1235790783 | Daphime Jackson | Counselor | 8737 Brooks Dr Ste 108, Easton, MD 21601-7474 | 2019-06-25 |
| Find all providers in EASTON | ||||
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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.