KRISTIN ANN LEDERMAN (NPI# 1578177226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578177226 |
Entity Type | Individual |
Full Name | KRISTIN ANN LEDERMAN |
Credential | CRNP |
Practice Address |
5755 Cedar Ln Columbia MD 21044-2999 |
Mailing Address |
7317 Eden Brook Dr Apt 307 Columbia MD 21046-1768 |
Practice Telephone | 4104937771 |
Mailing Telephone | 4104937771 |
Enumeration Date | 2020-09-01 |
Last Update Date | 2020-09-01 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R179302 | MD | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
5755 CEDAR LN |
City | COLUMBIA |
State | MD |
Zip Code | 21044-2999 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275539421 | Melinda Ellen Kantsiper | Internal Medicine | 5755 Cedar Ln, Howard County General Hospital -cims, Columbia, MD 21044-2912 | 2005-06-22 |
1194322636 | Stephanie Jenkins | Nurse Practitioner | 5755 Cedar Ln, Columbia, MD 21044-2912 | 2020-10-07 |
1821602582 | Kristen Lee Self | Nurse Practitioner | 5755 Cedar Ln, Columbia, MD 21044-2999 | 2020-09-01 |
1760092175 | Ashley Dozier | Nurse Practitioner | 5755 Cedar Ln, Columbia, MD 21044-2912 | 2020-08-01 |
1619515442 | Nikitta Dhillon | Physician Assistant | 5755 Cedar Ln, Columbia, MD 21044-2912 | 2019-12-11 |
1760025985 | Yande Cheng | Physician Assistant | 5755 Cedar Ln, Columbia, MD 21044-2999 | 2019-10-21 |
1073155586 | Dipal Patel | Physician Assistant | 5755 Cedar Ln, Columbia, MD 21044-2912 | 2019-10-16 |
1861034159 | Charles Wangui | Nurse Practitioner | 5755 Cedar Ln, Columbia, MD 21044-2912 | 2019-10-08 |
1972153849 | Rebeccah W Depp | Nurse Practitioner | 5755 Cedar Ln, Columbia, MD 21044-2912 | 2019-09-12 |
1295387132 | Katy Feichtinger | Physician Assistant | 5755 Cedar Ln, Columbia, MD 21044-2912 | 2019-07-11 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821699331 | Brightview Columbia, LLC | Alzheimer Center (Dementia Center) | 6670 Martin Road, Columbia, MD 21044 | 2020-11-03 |
1689291544 | Diana Matthews | Physical Therapist | 6016 Jerrys Drive, Columbia, MD 21044 | 2020-06-26 |
1902380926 | Bagiwa Healthcare Services LLC | Nursing Care | 10630 Little Patuxent Park Way, Suite 314i, Colombia, MD 21044 | 2018-09-17 |
1295228245 | April Bloom Assisted Living, LLC | Assisted Living Facility | 5037 East Durham Rd, Columbia, MD 21044 | 2018-06-13 |
1437659562 | La Shawna A Obame | Counselor | 10451 Twin Rivers Rd Ste 100, Columbia, MD 21044 | 2018-02-15 |
1205335262 | Rashida Annette Winestock | Registered Nurse | 10440 Little Patuxent Pkwy 800, Columbia, MD 21044 | 2018-02-06 |
1215436274 | Terri Lynn Buzby | Registered Nurse | 10440 Little Patuxuent Pkwy 800, Columbia, MD 21044 | 2018-02-06 |
1134628191 | Sarah Elizabeth Stiltner | Registered Nurse | 10440 Little Patuxent Pkwy Suite 800, Columbia, MD 21044 | 2018-02-06 |
1326547381 | David Oliver Sloan Jr. | Registered Nurse | 10440 Little Patuxent Parkway Suite 800, Columbia, MD 21044 | 2018-02-06 |
1467950980 | Jill Sheppard Davenport | Nutritionist | 10801 Hickory Ridge Rd Suite 215, C/o Holistic Child Psychiatry, Columbia, MD 21044 | 2018-01-30 |
Find all providers in zip 21044 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
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1114526266 | Leslie Desha | Nurse Practitioner | 1109 Pheasant Run, Columbia, MO 65201-6253 | 2020-10-20 |
1407454101 | Jason D Jones | Nurse Practitioner | 213 Austell Dr, Columbia, TN 38401-5531 | 2020-10-14 |
1316544315 | Rezvaneh Goodarzi | Nurse Practitioner | 8830 Tamar Dr Apt 301, Columbia, MD 21045-2962 | 2020-10-03 |
1316559255 | Lauren Olivia Lenauer | Nurse Practitioner | 1600 E Broadway # 300, Columbia, MO 65201-5844 | 2020-08-21 |
1285246272 | Lourdes Claire De Las Alas | Nurse Practitioner | 6005 Shepherd Sq, Columbia, MD 21044-3114 | 2020-08-20 |
1619587540 | Josey Abraham | Nurse Practitioner | 305 Aiken Hunt Cir, Columbia, SC 29223-8407 | 2020-08-05 |
1588274765 | Tomeka Nichole Jackson | Nurse Practitioner | 6156 Saint Andrews Rd Ste 208, Columbia, SC 29212-3147 | 2020-08-03 |
1528696762 | Mark Edward Merkel | Nurse Practitioner | 1040 N James M Campbell Blvd, Columbia, TN 38401-2756 | 2020-04-01 |
1306489265 | Andrew Leitch | Nurse Practitioner | 313 N Trenholm Rd, Columbia, SC 29206-3207 | 2019-10-23 |
1760033476 | Emily Smith | Nurse Practitioner | 157 Chinquapin Cir, Columbia, SC 29212-2902 | 2019-09-24 |
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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.