AMY MARIE LUEBEHUSEN (NPI# 1518930593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518930593 |
Entity Type | Individual |
Full Name | AMY MARIE LUEBEHUSEN |
Credential | CRNP |
Practice Address |
1238 Putty Hill Avenue Target Clinic Towson MD 21286 |
Mailing Address |
13 Oak Knoll Rd Cockeysville MD 21030-2322 |
Practice Telephone | 4108234423 |
Practice Fax Number | 4108235180 |
Mailing Telephone | 4109616578 |
Enumeration Date | 2006-02-09 |
Last Update Date | 2016-01-09 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R172676 | MD | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MA | BLUE CROSS | NP3319 | 01 |
Street Address |
1238 PUTTY HILL AVENUE TARGET CLINIC |
City | TOWSON |
State | MD |
Zip Code | 21286 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750989042 | Osereme Nora Agboifo | Nurse Practitioner | 200 Ejoppa Rd Suite 106, Townson, MD 21286 | 2020-10-09 |
1801434543 | Bh Brightview Towson Opco, LLC | Alzheimer Center (Dementia Center) | 20 E. Burke Avenue, Baltimore, MD 21286 | 2019-12-12 |
1417598897 | Tyler Tuggle | Home Health Aide | 8601 Lasalle Rd., Suite 100, Towson, MD 21286 | 2019-10-07 |
1285289629 | Center for Creative Values Inc | Community/Behavioral Health | 515 E. Joppa Rd Suite 100 & 104, Towson, MD 21286 | 2019-08-02 |
1275195117 | Watermark Health Services | Chore Provider | 1045 Taylor Avenue Suite 106e, Towson, MD 21286 | 2019-07-01 |
1609337021 | Tyler James Howard | Psychologist | 8600 Lasalle Road Carroll Building, Suite 212, Towson, MD 21286 | 2019-03-28 |
1477019578 | Ruth Marie Collins | Counselor | 8501 Lasalle Rd., Suite 115, Towson, MD 21286 | 2019-02-13 |
1396200671 | Christian Dorry | Behavior Technician | Epic Developmental Services, 1026 Cromwell Bridge Rd, Towson, MD 21286 | 2019-01-31 |
1831667799 | Casey O'sullivan | Counselor | 1220 E. Joppa Rd., Bldg B, Ste 332, Towson, MD 21286 | 2018-11-08 |
1649763053 | Rosemary O Okpulor | Nurse Practitioner | 8510 Lasalle Rd, Suite 310, Towson, MD 21286 | 2018-06-11 |
Find all providers in zip 21286 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700495215 | Samantha Scholz Dunn | Nurse Practitioner | 910 Cromwell Bridge Rd, Towson, MD 21286-3322 | 2020-07-30 |
1942836192 | Kelly Marie Canatella | Nurse Practitioner | 7600 Osler Dr Ste 305, Towson, MD 21204-7702 | 2020-03-19 |
1639715998 | Lisa M Katulis | Nurse Practitioner | 541 Brook Rd, Towson, MD 21286-5634 | 2019-11-21 |
1124507876 | Jordyn Elizabeth Jersey | Nurse Practitioner | 6701 N Charles St Ste 5105, Towson, MD 21204-6808 | 2018-08-13 |
1649763053 | Rosemary O Okpulor | Nurse Practitioner | 8510 Lasalle Rd, Suite 310, Towson, MD 21286 | 2018-06-11 |
1003272840 | Karen Renee Vancamp | Nurse Practitioner | 901 Dulaney Valley Rd Ste 129, Towson, MD 21204-0614 | 2016-01-09 |
1255702742 | Esther Kim | Nurse Practitioner | 8600 La Salle Rd # 250, Towson, MD 21286-2001 | 2015-10-09 |
1750375366 | Deborah Ann Campbell | Nurse Practitioner | 1238 Putty Hill Ave, # 6, Towson, MD 21286-5844 | 2005-09-09 |
1962021766 | Alisha Gonzales | Nurse Practitioner | 6701 N Charles St, Towson, MD 21204-6808 | 2020-04-11 |
1295354017 | Maureen Ifeacho | Nurse Practitioner | 6501 N Charles St, Towson, MD 21204-6819 | 2020-04-11 |
Find all providers in TOWSON |
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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.