MS. ANGELA BOADU (NPI# 1639419278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639419278 |
| Entity Type | Individual |
| Full Name | MS. ANGELA BOADU |
| Credential | R.D., L.D.N./L.D. |
| Practice Address |
13922 Baltimore Ave Suite 4a Laurel MD 20707-5009 |
| Mailing Address |
111 Michigan Ave Nw Washington DC 20010-2916 |
| Practice Telephone | 2024766354 |
| Practice Fax Number | 2405687010 |
| Mailing Telephone | 2024766354 |
| Enumeration Date | 2013-02-19 |
| Last Update Date | 2013-02-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133VN1004X |
Dietitian, Registered Specialization: Nutrition, Pediatric |
DI100000547 | DC | Dietary & Nutritional Service Providers |
| Y | 133VN1004X |
Dietitian, Registered Specialization: Nutrition, Pediatric |
DX3295 | MD | Dietary & Nutritional Service Providers |
| Street Address |
13922 BALTIMORE AVE SUITE 4A |
| City | LAUREL |
| State | MD |
| Zip Code | 20707-5009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992800379 | Elliot Stephen Gersh | Pediatrics | 13922 Baltimore Ave, 4a Childrens National Medical Center, Laurel, MD 20707 | 2006-09-13 |
| 1124466156 | Caelie Giapponi Rosenberger | Speech-Language Pathologist | 13922 Baltimore Ave, Laurel, MD 20707-5009 | 2013-06-12 |
| 1275787806 | Stephanie Michelle Nixon | Speech-Language Pathologist | 13922 Baltimore Ave, Laurel, MD 20707-5009 | 2008-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376157156 | Mini'imah Wilson | Social Worker | 15041 Cherrywood Dr, Laurel, MD 20707 | 2020-08-31 |
| 1548893985 | Ernest Freeman | Clinic/Center | 367 Main St., Laurel, Laurel, MD 20707 | 2020-02-13 |
| 1538701859 | Family Health and Wellness Clinic LLC | Clinic/Center | 324 Main St. #523, Laurel, MD 20707 | 2019-10-09 |
| 1467018226 | Leena Daniel | Nurse Practitioner | 13 C Street, Suite D, Laurel, MD 20707 | 2019-05-16 |
| 1538723143 | Florence Okojie | Nurse Practitioner | 13 C St Ste G, Laurel, MD 20707 | 2019-04-29 |
| 1487148631 | Munsha Sidhu Chadha | Dentist | 595 Main St Ste 237, Laurel, MD 20707 | 2018-06-20 |
| 1568953370 | Carleen Graham Schwimmer | Clinical Neuropsychologist | Veterans Affairs War Related Illness & Injury (wriisc), 50 Irving Street Nw, Washington, MD 20707 | 2018-05-29 |
| 1043709637 | Bk Behavioral Health Center | Behavior Technician | 14300 Cherry Lane Ct Ste 202-203, Laurel, MD 20707 | 2018-05-09 |
| 1053800839 | Bk Behaviorial Health Center | Substance Abuse Rehabilitation Facility | 14300 Cherry Lane Court, Suite 202-203, Laurel, MD 20707 | 2018-05-07 |
| 1316435795 | Laurel Pharmacy II LLC | Pharmacy | 14402 Baltimore Ave, Laurel, MD 20707 | 2018-05-01 |
| Find all providers in zip 20707 | ||||
| Taxonomy Code | 133VN1004X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| Specialization | Nutrition, Pediatric |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942456942 | Amy Goldsmith | Dietitian, Registered | 6325 Meandering Woods Ct, Frederick, MD 21701-4955 | 2008-08-11 |
| 1942467907 | Erin Davis Wolf-barnett | Dietitian, Registered | 110 N Washington St Ste 407, Rockville, MD 20850-2255 | 2008-05-19 |
| 1831797661 | Ryann Elizbeth Mayer | Dietitian, Registered | 17 W Main St, Middletown, MD 21769-8080 | 2020-10-14 |
| 1851945596 | Heidi Ann Lochen | Dietitian, Registered | 1800 Orleans St, Baltimore, MD 21287-0010 | 2019-07-31 |
| 1336601541 | Hannah Zuckoff | Dietitian, Registered | 1800 Orleans St, Baltimore, MD 21287-0010 | 2019-04-05 |
| 1053873265 | Samantha Schug | Dietitian, Registered | 1800 Orleans St, Baltimore, MD 21287-0010 | 2019-04-05 |
| 1386106508 | Ellyn Cory | Dietitian, Registered | 1800 Orleans St, Baltimore, MD 21287-0010 | 2019-04-05 |
| 1700348927 | Chun Yin Lai | Dietitian, Registered | 1800 Orleans St, Baltimore, MD 21287-0010 | 2019-04-05 |
| 1639627151 | Morgan Denhard | Dietitian, Registered | 1800 Orleans St, Bloomberg Building Rm 9306, Baltimore, MD 21287-0010 | 2016-09-13 |
| 1659535300 | Jeanne M Cox | Dietitian, Registered | 600 N Wolfe St, Brady 301, Baltimore, MD 21287-0005 | 2008-07-11 |
| 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.