DEEPA L CRUZ (NPI# 1598316184) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1598316184 |
Entity Type | Individual |
Full Name | DEEPA L CRUZ |
Practice Address |
1221 Mercantile Ln Largo MD 20774-5374 |
Practice Telephone | 3013413842 |
Mailing Telephone | 3013413842 |
Enumeration Date | 2019-09-25 |
Last Update Date | 2019-09-25 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WL0100X |
Registered Nurse Specialization: Lactation Consultant |
R139255 | MD | Nursing Service Providers |
Street Address |
1221 MERCANTILE LN |
City | LARGO |
State | MD |
Zip Code | 20774-5374 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164425419 | Stephen J Ilario | Orthopaedic Surgery | 1221 Mercantile Ln, Largo, MD 20774-5374 | 2005-05-31 |
1780215020 | Malika Tamara Haylock-jones | Nurse Practitioner | 1221 Mercantile Ln, Largo, MD 20774-5374 | 2020-01-27 |
1346888427 | Kaiser Foundation Health Plan of The Mid-atlantic States, Inc. | Clinic/Center | 1221 Mercantile Ln, Largo, MD 20774-5374 | 2019-12-19 |
1164069449 | Ashasha Tselat Sumbatyan | Physical Therapy Assistant | 1221 Mercantile Ln, Largo, MD 20774-5374 | 2019-12-05 |
1639720204 | Charmaine Andra Mckie | Registered Nurse | 1221 Mercantile Ln, Largo, MD 20774-5374 | 2019-09-25 |
1669028338 | Shanelle Moore | Family Medicine | 1221 Mercantile Ln, Largo, MD 20774-5374 | 2019-08-17 |
1356815112 | Nanah Hannah Sevalie | Nurse Practitioner | 1221 Mercantile Ln, Largo, MD 20774-5374 | 2019-01-15 |
1215436183 | Shadana Maddox | Pharmacist | 1221 Mercantile Ln, Largo, MD 20774-5374 | 2018-02-06 |
1336650878 | Kyla Trenay Scott | Registered Nurse | 1221 Mercantile Ln, Largo, MD 20774-5374 | 2017-10-23 |
1235667270 | Onyekachukwu Ada Ihezie | Pharmacist | 1221 Mercantile Ln, Largo, MD 20774-5374 | 2017-06-02 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922637156 | Marie Charlotte Teboutsou Tsodzou | Nurse Practitioner | 9317 Lavall Drive, Upper Marlboro, MD 20774 | 2020-04-08 |
1467093443 | Richland Support Services Corp. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11551 Joyceton Drive, Upper Marlboro, MD 20774 | 2019-10-01 |
1770134124 | Alan L Kahn | Counselor | 301 Largo Rd., Largo, MD 20774 | 2019-09-26 |
1619522034 | Francisca Ifeoma Alintah | Registered Nurse | 511 Dennis Magruder Dr., Upper Marlboro, MD 20774 | 2019-08-02 |
1609337146 | Crystal Osuchukwu | Counselor | 1300 Mccormick Dr, Upper Marlboro, MD 20774 | 2019-03-27 |
1861968489 | Collaborative Concepts of Maryland | Counselor | 1400 Mercantile Lane, Suite 208, Largo, MD 20774 | 2018-10-22 |
1073097622 | Triple Angels Homecare Services, Inc. | In Home Supportive Care | 1210 Dixie Bowie Way, Upper Marlboro, MD 20774 | 2018-09-19 |
1922589654 | Optimum Resource Services, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 711 Harry S. Truman Dr, Unit #105, Largo, MD 20774 | 2018-08-21 |
1811475254 | Kolawole Richard Olatunde | Home Health Aide | 11405 Villa Court, Upper Marlboro, MD 20774 | 2018-07-28 |
1548747769 | Tiara Williams | Counselor | 15207 Harriet Clotilda Way, Upper Marlboro, MD 20774 | 2018-07-20 |
Find all providers in zip 20774 |
Taxonomy Code | 163WL0100X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Lactation Consultant |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164793535 | Corey Riccardi | Registered Nurse | 203 Live Oak Ln, Largo, FL 33770-4074 | 2012-01-18 |
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1104424365 | Prolactin Life, LLC | Registered Nurse | 15012 Notley Rd, Silver Spring, MD 20905-7437 | 2020-10-10 |
1447861554 | Emily Margaret Johnson | Registered Nurse | 509 Casey Ln, Rockville, MD 20850-7744 | 2020-08-12 |
1770101180 | Kelly Kendall | Registered Nurse | 1782 E Regents Park Rd, Crofton, MD 21114-2530 | 2020-07-13 |
1841810546 | Kristan Nichole Zylka | Registered Nurse | 253 Bell Rd, Westminster, MD 21158-4107 | 2020-04-22 |
1174152912 | Melissa Marie Wilson | Registered Nurse | 905 Forksbridge Ct, Gambrills, MD 21054-1655 | 2020-04-03 |
1588209100 | Nancy Jill Kerr | Registered Nurse | 616 Laurel Dr, Pasadena, MD 21122-5225 | 2019-11-07 |
1245886944 | Christina Louise Bernard | Registered Nurse | 777 Oakwilde Way, Millersville, MD 21108-1417 | 2019-08-18 |
1770137440 | Jaime Samluck | Registered Nurse | 620 Trango Dr, Westminster, MD 21158-9469 | 2019-07-30 |
1194382515 | Bridget N Krautwurst | Registered Nurse | 33 Boileau Ct, Middletown, MD 21769-8002 | 2019-05-21 |
1881156784 | Anne Caitlin Greene | Registered Nurse | 14812 Physicians Ln Ste 161, Rockville, MD 20850-3911 | 2019-04-01 |
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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.