KIMBERLY CAMPBELL MCCLENDON (NPI# 1699235531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699235531 |
| Entity Type | Individual |
| Full Name | KIMBERLY CAMPBELL MCCLENDON |
| Credential | NURSE PRACTITIONER |
| Practice Address |
4321 Collington Rd Bowie MD 20716-2259 |
| Mailing Address |
112 Davenport Rd Apt 533 Simpsonville SC 29680-3755 |
| Practice Telephone | 3018094000 |
| Mailing Telephone | 8643564470 |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2019-03-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
22269 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720690035 | Kimberly Tawana Mcclendon | Driver | 628 Cascade Rd, Cincinnati, OH 45240-3943 | 2020-08-18 |
| Street Address |
4321 COLLINGTON RD |
| City | BOWIE |
| State | MD |
| Zip Code | 20716-2259 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013171883 | Monica Boyden Francis | Physician Assistant | 4321 Collington Rd, Suite 230, Bowie, MD 20716-2259 | 2008-07-10 |
| 1083054654 | Javod Kazemizadeh Gol | Dentist | 4321 Collington Rd, Bowie, MD 20716-2259 | 2013-06-27 |
| 1104068790 | Aesthetic Dermatology and Dermatologic Surgery Center | Specialist | 4321 Collington Rd, Suite 230, Bowie, MD 20716 | 2009-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508330903 | Stacey Katheryn Lundquist | Counselor | 3060 Michellville Rd, Suite 106, Bowie, MD 20716 | 2019-01-18 |
| 1427528819 | Nicole Rudd | Counselor | 4315 Northview Dr, Bowie, MD 20716 | 2018-11-28 |
| 1427541838 | Outreach Recovery II, LLC | Internal Medicine | 4201 Northview Dr Ste 104, Bowie, MD 20716 | 2018-06-11 |
| 1487143608 | Fatimata Koroma | Counselor | 3953 Elite St, Bowie, MD 20716 | 2018-05-02 |
| 1043739618 | Breanna Collinson | Behavior Technician | 3017 New Oak Ln., Bowie, MD 20716 | 2017-09-15 |
| 1790202000 | Sierra Williams Howell | Nurse Practitioner | 2802 Eliston Street, Bowie, MD 20716 | 2017-08-28 |
| 1487175105 | Martine Jean | Technician | 15911 Pointer Ridge Rd, Bowie, MD 20716 | 2017-07-03 |
| 1902254493 | Olachi Enwerem | Licensed Practical Nurse | 16206 Audubon Lane, Bowie, MD 20716 | 2016-05-25 |
| 1780039230 | Debra Lachaune Garris | Specialist | 3042 Mitchiville Road, Bowie, MD 20716 | 2016-05-03 |
| 1750782553 | Medical Trasportation Systems LLC | Non-emergency Medical Transport (VAN) | 16036 Elegant Ave, Bowie, MD 20716 | 2014-09-11 |
| Find all providers in zip 20716 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487285771 | Anuoluwapo Otuyelu | Nurse Practitioner | 15509 Overchase Ln, Bowie, MD 20715-4618 | 2020-01-27 |
| 1134759905 | Lucy Omoboye Ogunsuyi | Nurse Practitioner | 4820 Briercrest Ct, Bowie, MD 20720-4840 | 2020-01-21 |
| 1437799582 | Ngozi B Amadi-obi | Nurse Practitioner | 2107 Belfry Ln, Bowie, MD 20721-2253 | 2020-01-07 |
| 1568007862 | Lilian Osei | Nurse Practitioner | 16705 Eldbridge Ln, Bowie, MD 20716-7327 | 2019-11-10 |
| 1255974648 | Ihuoma Rose Iwe | Nurse Practitioner | 7410 Quixote Ct, Bowie, MD 20720-4354 | 2019-10-18 |
| 1932757010 | Kimoy Campbell | Nurse Practitioner | 13316 Landsdales Hope Way, Bowie, MD 20720-6381 | 2019-08-31 |
| 1124683768 | Lucie Bakop | Nurse Practitioner | 1217 Kingsbury Drive, Bowie, MD 20721 | 2019-05-09 |
| 1104381904 | Nneoma M Oguguo | Nurse Practitioner | 2504 Somerton Ct, Bowie, MD 20721-2979 | 2019-02-05 |
| 1730650243 | Peace C Otigba | Nurse Practitioner | 2601 Wallingford Ct, Bowie, MD 20721-3183 | 2018-12-10 |
| 1962973651 | Toyin Olasehinde | Nurse Practitioner | 12615 Memory Ln, Bowie, MD 20715-1609 | 2018-12-06 |
| Find all providers in BOWIE | ||||
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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.