PETRA PATTERSON


Address: 7700 Old Branch Ave, Clinton, MD 20735-1628
Phone: 3018567222

PETRA PATTERSON (NPI# 1528466190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1528466190
Entity Type Individual
Full Name PETRA PATTERSON
Credential RN OWNER
Practice Address 7700 Old Branch Ave
Clinton
MD 20735-1628
Practice Telephone 3018567222
Practice Fax Number 3018562786
Mailing Telephone 3018567222
Mailing Fax Number 3018562786
Enumeration Date 2014-12-15
Last Update Date 2014-12-15
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 376G00000X Nursing Home Administrator R130430 MD Nursing Service Related Providers

Other Provider Identifier

State Issuer Identifier Type Code
NPI FOR AN ORGANIZATION 1013313220 01

Other Providers PETRA PATTERSON

NPI Name Taxonomy Address Enumeration
1851607576 Petra Ann Patterson Counselor 3712 N 39th St, Tacoma, WA 98407-5720 2010-08-19

Office Location

Street Address 7700 OLD BRANCH AVE
City CLINTON
State MD
Zip Code 20735-1628

Providers in the same location

NPI Name Taxonomy Address Enumeration
1568468841 Philip L Briley Psychologist 7700 Old Branch Ave, Ste B105, Clinton, MD 20735-1628 2005-06-22
1003264243 Mind Over Matter Health Services Community/Behavioral Health 7700 Old Branch Ave, B204, Clinton, MD 20735-1628 2016-05-27
1982050472 Hagar Healthcare Occupational Therapist 7700 Old Branch Ave, Suite E 208, Clinton, MD 20735-1628 2016-05-13
1164889390 Gregory Beacham II Massage Therapist 7700 Old Branch Ave, Clinton, MD 20735-1628 2016-01-19
1013389121 Brittany Deloatch Counselor 7700 Old Branch Ave, D103, Clinton, MD 20735-1628 2015-10-28
1750775268 Southern Maryland Endoscopy Center Anesthesia Internal Medicine 7700 Old Branch Ave, Suite A103, Clinton, MD 20735-1628 2015-03-23
1356739098 John P. Hakim, Md and Associates Internal Medicine 7700 Old Branch Ave, Suite E105, Clinton, MD 20735-1628 2015-01-05
1427455088 Deanna Sharpe Nurse Practitioner 7700 Old Branch Ave, D203, Clinton, MD 20735-1628 2014-11-25
1760889497 Floss Family Dentistry, LLCs Dentist 7700 Old Branch Ave, D105, Clinton, MD 20735-1628 2014-11-24
1013313220 Affinity Home Care LLC Hospice Care, Community Based 7700 Old Branch Ave, Clinton, MD 20735-1628 2014-11-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1760940456 Elise Olson Occupational Therapist 9135 Piscataway Rd, Suite 305, Clinton, MD 20735 2019-03-12
1437651742 Total You Integrative Healthcare Inc Clinic/Center 9135 Piscataway Rd Ste 410, Clinton, MD 20735 2018-03-02
1386193233 Benedicta C Osamor Home Health Aide 6808 Purple Lilac Ln, Clinton, MD 20735 2016-10-03
1669926309 Frankline Ngozi Obi I Home Health Aide 8111 Highland Meadows Dr, Clinton, MD 20735 2016-08-11
1770952459 Adventures One, Inc. Clinic/Center 7121 Old Alexandria Ferry Rd., Clinton, MD 20735 2015-09-23
1730574831 Lindsey Degeorge Emergency Medicine 7503 Surratts Rd Dept Of, Clinton, MD 20735 2015-04-06
1316341860 Margaret Laurence-whitlock Speech-Language Pathologist 5807 Terence Dr., Laurence Learning Center, Clinton, MD 20735 2014-10-13
1699103622 Dcps Social Worker 5504 Trout Run Rd, Clinton, MD 20735 2013-10-30
1902232614 Rafael Antonio Acosta Dentist 7905 Malcolm Rd Ste 300, Clinton, MD 20735 2013-09-25
1407135874 Richelle Wilson Harvey Occupational Therapist 8202 Shackelford Way, Clinton, MD 20735 2011-08-16
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Taxonomy Information

Taxonomy Code 376G00000X
Grouping Nursing Service Related Providers
Classification Nursing Home Administrator

Taxonomy Definition

An individual, often licensed by the state, who is responsible for the management of a nursing home.
Notes: Source: Lexikon: Dictionary of Health Care Terms, Organizations, and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL, 1994, p. 552.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1659987154 Timothy Ringgold Nursing Home Administrator 9020 Amber Oaks Way, Owings Mills, MD 21117-5036 2020-09-20
1053702613 Salimah Hipps Nursing Home Administrator 13999 Old Columbia Pike, Silver Spring, MD 20904-4557 2015-02-18
1447514187 Daniel Ndamukong Nursing Home Administrator 12008 Castle Pines Ln, Waldorf, MD 20602-3183 2012-06-27
1417234048 Charles Egbe Nursing Home Administrator 1055 Taylor Avenue, Suite 304, Towson, MD 21286 2011-11-10
1184922361 Mark Allen Nagle Nursing Home Administrator 401 15th St Unit 6, Ocean City, MD 21842-5526 2011-03-11
1356641708 Halimat Ebun Akojie Nursing Home Administrator 1450 Mercantile Ln Ste 203, Largo, MD 20774-5396 2010-11-01
1013573021 Just One Step, LLC Nursing Home Administrator 11140 Rockville Pike Ste 400, Rockville, MD 20852-3104 2019-05-15

Competitor

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City CLINTON
Zip Code 20735

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Dataset Information

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.

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