AILEEN LARDIS (NPI# 1578028874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578028874 |
| Entity Type | Individual |
| Full Name | AILEEN LARDIS |
| Other Name | MS. AILEEN COLLETTE GILLIGAN |
| Credential | CRNP |
| Practice Address |
2000 Medical Pkwy Ste 304 Annapolis MD 21401-3745 |
| Mailing Address |
Po Box 12622 Belfast ME 04915-4017 |
| Practice Telephone | 4105739530 |
| Enumeration Date | 2019-01-31 |
| Last Update Date | 2019-05-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
R175578 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | MEDICARE | 792305 | 01 |
| MD | BCBS | CY310018 | 01 |
| MD | 772153600 | 05 | |
| MD | MEDICARE | 791003 | 01 |
| Street Address |
2000 MEDICAL PKWY STE 304 |
| City | ANNAPOLIS |
| State | MD |
| Zip Code | 21401-3745 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285950154 | Janelle Christine Cooper | Obstetrics & Gynecology | 2000 Medical Pkwy Ste 304, Annapolis, MD 21401-3745 | 2010-04-15 |
| 1356862528 | Anne Arundel Physician Group, LLC | Obstetrics & Gynecology | 2000 Medical Pkwy Ste 304, Annapolis, MD 21401-3745 | 2017-06-28 |
| 1548526452 | Victoria Norton Moore | Obstetrics & Gynecology | 2000 Medical Pkwy Ste 304, Annapolis, MD 21401-3745 | 2012-04-04 |
| 1235405234 | Julia Lubsky | Obstetrics & Gynecology | 2000 Medical Pkwy Ste 304, Annapolis, MD 21401-3745 | 2012-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497377154 | Michael Khorsandi | Student in an Organized Health Care Education/Training Program | 2001 Medical Parkway, Clatanoff Pavillon, Gmw Office, Annapolis, MD 21401 | 2020-05-15 |
| 1275172033 | Katrice N Nelson | Massage Therapist | Wellsview Cottage Center, 613 Ridgely Avenue, Annapolis, MD 21401 | 2019-12-27 |
| 1548803521 | Victoria Reimnitz | Behavioral Analyst | 2028 Indusrtrial Dr, Ste B&c, Annapolis, MD 21401 | 2019-10-23 |
| 1700438140 | Emily Megan Burke | Nurse Practitioner | 200 Forbes St Annapolis, Md 21401, Suite 200, Annapolis, MD 21401 | 2019-07-16 |
| 1316504848 | Sherina Maryam Shamsa | Counselor | 1830 Forest Drive, Suite H-2, Annapolis, MD 21401 | 2019-05-21 |
| 1497225288 | Jerilyn Deitch | Speech-Language Pathologist | Anne Arundel County Public Schools, 2644 Riva Rd, Annapolis, MD 21401 | 2018-12-05 |
| 1487124038 | Lucinda W Mimms | Speech-Language Pathologist | 2644 Riva Rd., Annapolis, MD 21401 | 2018-11-27 |
| 1487145496 | Michelle Baudean | Behavior Technician | 1919 West St Ste 201, Annapolis, MD 21401 | 2018-05-24 |
| 1730678954 | Stephanie Ruth Streb | Registered Nurse | 130 Admiral Cochrane Dr Ste 103, Annapolis, MD 21401 | 2018-05-02 |
| 1780183947 | Annapolis Sleep Center LLC | Clinic/Center | 2451 Riva Rd, Annapolis, MD 21401 | 2018-02-02 |
| Find all providers in zip 21401 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235260423 | Judith Carson Roane | Nurse Practitioner | 2003 Medical Pkwy Ste 250, Women Ob Gyn, Annapolis, MD 21401-3098 | 2007-03-08 |
| 1902244411 | Monica Maldonado | Nurse Practitioner | 2000 Medical Pkwy Ste 309, Annapolis, MD 21401 | 2013-06-06 |
| 1891041968 | Sophie Thibodeau Eckert | Nurse Practitioner | 2003 Medical Pkwy, Suite 250, Annapolis, MD 21401-7992 | 2012-07-26 |
| 1790030989 | Jennifer Anne Ghadisha | Nurse Practitioner | 2000 Medical Pkwy, Suite 306, Annapolis, MD 21401-3742 | 2012-07-13 |
| 1013193135 | Dabney Lipscomb | Nurse Practitioner | 2003 Medical Pkwy, Wayson Pavilion, Suite 150, Annapolis, MD 21401-7992 | 2008-01-18 |
| 1578654018 | Kathleen Marie Hughes | Nurse Practitioner | 3 Harry S Truman Pkwy, Annapolis, MD 21401-7031 | 2006-09-28 |
| 1033200209 | Gail Brohawn Jones | Nurse Practitioner | 3 Harry S Truman Pkwy, Hd 7, Annapolis, MD 21401-7031 | 2006-09-27 |
| 1912005000 | Maxine Elizabeth Seabrook | Nurse Practitioner | 3 Harry S Truman Pkwy, Annapolis, MD 21401-7031 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033719307 | Truth Reproductive Health Services, LLC | Nurse Practitioner | 300 Rexburg Ave, Fort Washington, MD 20744-6103 | 2020-10-27 |
| 1992311013 | Beyond Well Woman & Associates, LLC | Nurse Practitioner | 17224 Teagues Point Rd, Hughesville, MD 20637-2803 | 2020-09-23 |
| 1275144099 | Brooke A Ellinger | Nurse Practitioner | 10750 Columbia Pike Ste 700, Silver Spring, MD 20901-4461 | 2020-08-14 |
| 1366053217 | Kristin Rae Porter | Nurse Practitioner | 127 Schoolhouse Rd, Sykesville, MD 21784-7132 | 2020-08-13 |
| 1376167478 | Tiffanye Chanelle Williams | Nurse Practitioner | 8900 Columbia 100 Pkwy Ste E, Columbia, MD 21045-2336 | 2020-06-04 |
| 1467018226 | Leena Daniel | Nurse Practitioner | 13 C Street, Suite D, Laurel, MD 20707 | 2019-05-16 |
| 1073008157 | Alindell Sasha Francis | Nurse Practitioner | 5601 Loch Raven Blvd Ste 306, Baltimore, MD 21239-2945 | 2018-06-29 |
| 1619499647 | Crystal Marie Smith | Nurse Practitioner | 2401 Brandermill Blvd Ste 310, Gambrills, MD 21054-1604 | 2017-07-12 |
| 1154857811 | Christine Schlaerth | Nurse Practitioner | 1120 Old Westminster Rd, Westminster, MD 21157-6711 | 2017-05-02 |
| 1447627443 | Jennifer Lynn Delong | Nurse Practitioner | 8430 Stevens Rd, Owings, MD 20736-9162 | 2015-08-25 |
| Find all providers with the same taxonomy | ||||
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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.