NAKISHA JENIFER (NPI# 1508364001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1508364001 |
Entity Type | Individual |
Full Name | NAKISHA JENIFER |
Practice Address |
11801 Park Waldorf Ln Ste 510 Waldorf MD 20601-3191 |
Mailing Address |
150 Post Office Rd # 2394 Waldorf MD 20602-9998 |
Practice Telephone | 2407198244 |
Mailing Telephone | 2407198244 |
Enumeration Date | 2018-01-30 |
Last Update Date | 2018-01-30 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225700000X | Massage Therapist | R01689 | MD | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
11801 PARK WALDORF LN STE 510 |
City | WALDORF |
State | MD |
Zip Code | 20601-3191 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487144804 | Kimberly Spivey | Massage Therapist | 11801 Park Waldorf Ln Ste 510, Waldorf, MD 20601-3191 | 2018-05-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154960128 | Sarian Beverly Wilson | Nurse Practitioner | 2203 Kayhill Dr, Waldorf, MD 20601 | 2019-12-23 |
1447778055 | Macy Alexandra Forman | Pharmacist | 3061 Tecnology Place, Waldorf, MD 20601 | 2017-09-04 |
1922523919 | Gregoire Mcclain | Counselor | Pathways Inc 2670 Crain Hwy, Suite 409, Waldorf, MD 20601 | 2017-08-10 |
1477091866 | Lutisse Cooper | Home Health Aide | 2520 Breakwater Court, Waldorf, MD 20601 | 2017-02-06 |
1609321637 | Kierra Jordan | Counselor | 2255 Crain Hwy Ste 102, Waldorf, MD 20601 | 2016-08-19 |
1215286828 | Linda Kline-lau | Counselor | 2255 Crain Highway, Waldorf, MD 20601 | 2012-08-29 |
1205124609 | Marian E. Kirk | Physical Therapist | 2960 Technology Place, Suite 110, Waldorf, MD 20601 | 2011-07-19 |
1932345238 | Patient First Maryland Medical Group | Non-Pharmacy Dispensing Site | 2855 Crain Highway, Waldorf, MD 20601 | 2008-12-17 |
1720150741 | Marianna Jeanne Patente | Counselor | 2670 Crain Highway, Suite #401, Waldorf, MD 20601 | 2006-11-14 |
1407940968 | Harold J. Pincus | Dentist | 2955 Crain Hwy., Waldorf, MD 20601 | 2006-10-02 |
Find all providers in zip 20601 |
Taxonomy Code | 225700000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Massage Therapist |
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457968174 | Linda Renee Scott | Massage Therapist | 2210 Stream Vista Pl Apt 208, Waldorf, MD 20601-7295 | 2020-09-27 |
1487144804 | Kimberly Spivey | Massage Therapist | 11801 Park Waldorf Ln Ste 510, Waldorf, MD 20601-3191 | 2018-05-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508467606 | Paul Clark Kimball | Massage Therapist | 3631 Martins Dairy Cir, Olney, MD 20832-2451 | 2020-11-04 |
1306447925 | Maksim Simakhodskiy | Massage Therapist | 1328 Waugh Chapel Way, Gambrills, MD 21054 | 2020-11-02 |
1609476209 | Edward Drew Welch | Massage Therapist | 1812 Baltimore Blvd Ste E, Westminster, MD 21157-7144 | 2020-11-01 |
1447850284 | Maxine Nguyen | Massage Therapist | 2725 Theresa Ln, Baltimore, MD 21227-3554 | 2020-10-30 |
1457950305 | Aj Denzel Henry | Massage Therapist | 44 Polk St, Aberdeen, MD 21001-2589 | 2020-10-21 |
1316545916 | Chanin D Storm | Massage Therapist | 1719 Woodruff Way, Frederick, MD 21701-2514 | 2020-10-15 |
1164020756 | Brighid Rose Satori | Massage Therapist | 8018 Brightwood Ct, Ellicott City, MD 21043-7932 | 2020-10-15 |
1740887496 | Ariel Bailey | Massage Therapist | 3600 Northway Dr, Baltimore, MD 21234-7927 | 2020-10-06 |
1235736877 | Janthima Sapadith | Massage Therapist | 834 Waterford Dr, Frederick, MD 21702-4088 | 2020-10-06 |
1205433372 | Shengchao Qiang | Massage Therapist | 751 Sligo Ave, Silver Spring, MD 20910-4729 | 2020-10-02 |
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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.