REGINALD EUGENE DEGRAFENREID JR. (NPI# 1699149492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699149492 |
| Entity Type | Individual |
| Full Name | REGINALD EUGENE DEGRAFENREID JR. |
| Credential | N.P., PMH-NP |
| Practice Address |
1866 Reisterstown Rd F Baltimore MD 21208-1335 |
| Mailing Address |
1411 Glendale Rd Baltimore MD 21239-1408 |
| Practice Telephone | 4104845642 |
| Practice Fax Number | 4104845541 |
| Mailing Telephone | 4107332544 |
| Enumeration Date | 2015-11-18 |
| Last Update Date | 2019-09-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
R193260 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
R193260 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1866 REISTERSTOWN RD F |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21208-1335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386091866 | Anna Welty | Chiropractor | 1866 Reisterstown Rd, Suite F, Baltimore, MD 21208-1335 | 2016-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487292017 | Citywide Community Resources Corporation | Community/Behavioral Health | 17 Warren Road Suite 20b, Room 7, Pikesville, MD 21208 | 2019-12-13 |
| 1801442967 | Delight Health Care Services, LLC | Adult Companion | 8 Sudbrook Lane, Suite A, Pikesville, MD 21208 | 2019-08-14 |
| 1295398154 | Building Blocks Healthcare Network LLC | Counselor | 4000 Old Court Rd. Suite # 206, Pikesville, MD 21208 | 2019-04-17 |
| 1851892897 | For Hope's Sake, LLC. | Substance Abuse Rehabilitation Facility | 1326 Greenwood Rd, Baltimore, MD 21208 | 2018-02-26 |
| 1194254482 | One Day At A Time Personal Care LLC. | Home Health | 103 Sudbrook Lane, Suite9, Pikesville, MD 21208 | 2017-06-08 |
| 1871946467 | Lori Pasch | Social Worker | 7211 Park Heights Avenue, Suite 4, Baltimore, MD 21208 | 2016-07-19 |
| 1669822706 | Holly Hibbard | Physical Therapist | 575 South Charles Street, Suite 201, Baltimore, MD 21208 | 2016-06-20 |
| 1497102867 | Pikesville Health Services LLC | Clinic/Center | 1209 Greenwood Rd, Baltimore, MD 21208 | 2016-05-16 |
| 1093183030 | Homecentris Community Care, LLC | Clinic/Center | 1500 Bedford Ave, Baltimore, MD 21208 | 2015-09-08 |
| 1225413404 | Daniel Chernoff | Occupational Therapist | 3118 Marnat Rd, Baltimore, MD 21208 | 2015-07-29 |
| Find all providers in zip 21208 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
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| 1023635877 | Emu Godspower Ohwobete | Nurse Practitioner | 6 Aspinwood Way Apt E, Baltimore, MD 21237-4210 | 2020-06-28 |
| 1922623891 | A Platform To Healthcare | Nurse Practitioner | 2701 E Monument St Ste 102, Baltimore, MD 21205-2632 | 2020-06-16 |
| 1740804749 | Lawretta Orobosa Jinadu | Nurse Practitioner | 950 Southerly Rd, Baltimore, MD 21204-2756 | 2020-06-04 |
| 1205458536 | Raphael Ernest Gikonyo | Nurse Practitioner | 100 Walnut Ave, Baltimore, MD 21206-1032 | 2020-05-08 |
| 1336768787 | Sylvianne Akum | Nurse Practitioner | 7531 Roxy Dr, Baltimore, MD 21244-2064 | 2020-04-15 |
| 1801444716 | Fore Counselling Health Centre | Nurse Practitioner | 821 N Eutaw St Ste 202, Baltimore, MD 21201-6302 | 2019-09-04 |
| 1659929487 | Malama Medical, LLC | Nurse Practitioner | 34 York Ct, Baltimore, MD 21218-1248 | 2019-08-26 |
| 1679128680 | Catherine O Nwah | Nurse Practitioner | 6416 Martinique Rd, Baltimore, MD 21237-2046 | 2019-08-06 |
| 1497317853 | Wakeelat A Adeoye | Nurse Practitioner | 5411 0ld Fredrick Rd, Suite 7, Baltimore, MD 21229 | 2019-07-05 |
| Find all providers in BALTIMORE | ||||
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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.