CYLYNE MANTANONA (NPI# 1629474291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629474291 |
| Entity Type | Individual |
| Full Name | CYLYNE MANTANONA |
| Credential | NP |
| Practice Address |
8901 Wisconsin Ave Bethesda MD 20889-0004 |
| Mailing Address |
29 Dudley Ct Bethesda MD 20814-5428 |
| Practice Telephone | 7575897304 |
| Mailing Telephone | 7575897304 |
| Enumeration Date | 2014-11-10 |
| Last Update Date | 2014-11-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
95001575 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
8901 WISCONSIN AVE |
| City | BETHESDA |
| State | MD |
| Zip Code | 20889-0004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093710246 | Rosemary Grace Carr-malone | Psychiatry & Neurology | 8901 Wisconsin Ave, Bethesda, MD 20889-5600 | 2005-06-15 |
| 1861017212 | Luke White | Student in an Organized Health Care Education/Training Program | 8901 Wisconsin Ave, Bethesda, MD 20889-0004 | 2020-06-11 |
| 1538782545 | Alexander Pastino | Student in an Organized Health Care Education/Training Program | 8901 Wisconsin Ave, Bethesda, MD 20889-0004 | 2020-05-26 |
| 1104449362 | Justin James De Vera | Student in an Organized Health Care Education/Training Program | 8901 Wisconsin Ave, Bethesda, MD 20889-0004 | 2020-05-22 |
| 1881217180 | Reece Mckenzie | Student in an Organized Health Care Education/Training Program | 8901 Wisconsin Ave, Bethesda, MD 20889-0004 | 2020-05-20 |
| 1073135695 | Alex Kim | Student in an Organized Health Care Education/Training Program | 8901 Wisconsin Ave, Bethesda, MD 20889-0004 | 2020-05-18 |
| 1619599354 | Jacob Mickey Wyse | Student in an Organized Health Care Education/Training Program | 8901 Wisconsin Ave, Bethesda, MD 20889-0004 | 2020-05-16 |
| 1770105413 | Anna M Russell | Student in an Organized Health Care Education/Training Program | 8901 Wisconsin Ave, Bethesda, MD 20889-0004 | 2020-05-16 |
| 1699397364 | Jessica Nicole Clark | Student in an Organized Health Care Education/Training Program | 8901 Wisconsin Ave, Bethesda, MD 20889-0004 | 2020-05-15 |
| 1558983296 | Mason Cleary Ditthardt Fortuno | Military Health Care Provider | 8901 Wisconsin Ave, Bethesda, MD 20889-0004 | 2020-05-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457987034 | Michael Franco | Student in an Organized Health Care Education/Training Program | Internal Medicine - Walter Reed Nmmc, 8901 Wisconsin Avenue, Bethesda, MD 20889 | 2020-03-16 |
| 1245862135 | Kay Tomashek | Pediatrics | National Military Medical Center, 8901 Rockville Pike, Bethesda, MD 20889 | 2020-02-07 |
| 1104470657 | Adam Pink | Dentist | 8901 Wisconsin Ave Building 9 Floor 2, Bethesda, MD 20889 | 2019-08-01 |
| 1659939155 | Matthew Heller | Student in an Organized Health Care Education/Training Program | Psychiatry Walter Reed National Military Medica, 8901 Wisconsin Avenue, Bethesda, MD 20889 | 2019-05-30 |
| 1891258034 | Jane Ann Crotteau | Student in an Organized Health Care Education/Training Program | Pediatrics Walter Reed National Military Medical Center, 8901 Wisconsin Avenue, Bethesda, MD 20889 | 2019-04-12 |
| 1417434341 | Andrea Baeder | Dentist | 8901 Wisconsin Ave Bldg 9, Floor 2, Bethesda, AA 20889 | 2018-07-24 |
| 1942741723 | John Vance | Orthotist | Wrnmmc Orthotics, 8901 Wisconsin Avenue, Bethesda, MD 20889 | 2017-03-14 |
| 1790225704 | Sylvia Best | Pharmacist | 8901 Wisconsin Avenue Wrnmmc-, Americas Building 19- Internal Medicine Suite 2820, Bethesda, MD 20889 | 2017-02-24 |
| 1255783767 | Ryan Kaye | Student in an Organized Health Care Education/Training Program | Nsa Bethesda, 8901 Wisconsin Ave, Bethesda, Md 20889, Fpo, AA 20889 | 2016-07-08 |
| 1366861221 | Tara Elizabeth Brown | Internal Medicine | 8901 Wisconsin Avenue Walter Reed Nmmc, Bethesda, MD 20889 | 2014-04-08 |
| Find all providers in zip 20889 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063022853 | Lauren Ranieri | Nurse Practitioner | 5301 Westbard Cir Ste 3, Bethesda, MD 20816-1463 | 2020-08-06 |
| 1982912150 | Elaine Marie Kulm | Nurse Practitioner | 10 Center Drive 12c120, Bethesda, MD 20892-2916 | 2010-09-21 |
| 1922328244 | Wendy Ann Henderson | Nurse Practitioner | National Institutes of Ctr, Building 10, 10 Center Drive, 2-1339, Bethesda, MD 20892-0001 | 2010-06-09 |
| 1649361585 | Jane Johnston Balkam | Nurse Practitioner | 10117 Parkwood Ter, Bethesda, MD 20814-4035 | 2006-09-27 |
| 1114912078 | Gretchen Golas | Nurse Practitioner | 10 Center Dr, Bethesda, MD 20892-0001 | 2005-09-16 |
| 1962405100 | Elaine K Cochran | Nurse Practitioner | Nih Niddk Deob 10 Center Drive Crc 6 5940, Bethesda, MD 20892-0001 | 2005-05-23 |
| 1770022105 | Anne Marie Fejka | Nurse Practitioner | 9000 Rockville Pike Bldg 10, Bethesda, MD 20892-4670 | 2017-02-17 |
| 1659734945 | Andrea Maria Baldwin | Nurse Practitioner | 10 Center Dr, Room 1-5750, Msc 1101, Bethesda, MD 20892-0001 | 2016-04-04 |
| 1013267988 | Margaret Farmar Keil | Nurse Practitioner | National Institutes of Health, Nichd, 10 Center Drive, Bldg 10 Room 1 E 3330, Bethesda, MD 20892-1103 | 2012-09-18 |
| 1265781827 | Bonnie Dolores Yates | Nurse Practitioner | 9000 Rockville Pike Bldg 10, Bethesda, MD 20892 | 2012-08-29 |
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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.