WEHTI BLACKLEDGE (NPI# 1760767735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760767735 |
| Entity Type | Individual |
| Full Name | WEHTI BLACKLEDGE |
| Practice Address |
15459 Annapolis Rd Bowie MD 20715-1847 |
| Mailing Address |
5000 Cox Rd Glen Allen VA 23060-9263 |
| Practice Telephone | 2405440676 |
| Mailing Telephone | 8049685700 |
| Enumeration Date | 2011-10-20 |
| Last Update Date | 2019-01-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
1025280 | DC | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R166525 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 765 Kenilworth Ter Ne, Washington, DC 200191898 | 2023888160 | |
| 8908 Riggs Rd, Adelphi, MD 207831632 | 3014225900 |
| Street Address |
15459 ANNAPOLIS RD |
| City | BOWIE |
| State | MD |
| Zip Code | 20715-1847 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548251549 | Kim M Bondurant | Internal Medicine | 15459 Annapolis Rd, Bowie, MD 20715-1847 | 2005-10-31 |
| 1144748401 | Melissa Brooke Newport | Physician Assistant | 15459 Annapolis Rd, Bowie, MD 20715-1847 | 2017-09-06 |
| 1043682750 | Lioudmila Hill | Nurse Practitioner | 15459 Annapolis Rd, Bowie, MD 20715-1847 | 2015-10-21 |
| 1366837031 | Tanya Qin Tan | Internal Medicine | 15459 Annapolis Rd, Bowie, MD 20715 | 2015-03-31 |
| 1881096345 | Thirza M. Day | Physician Assistant | 15459 Annapolis Rd, Bowie, MD 20715-1847 | 2014-09-16 |
| 1316253594 | Lori A. Rodey | Physician Assistant | 15459 Annapolis Rd, Bowie, MD 20715-1847 | 2010-08-25 |
| 1730490186 | Tramaine Angela Davis | Family Medicine | 15459 Annapolis Rd, Bowie, MD 20715-1847 | 2010-06-30 |
| 1164524922 | Sonia Marie Rhoden-salmon | Family Medicine | 15459 Annapolis Rd, Bowie, MD 20715-1847 | 2006-09-02 |
| 1497766133 | Rachel N Gaines-mbachu | Physician Assistant | 15459 Annapolis Rd, Bowie, MD 20715-1847 | 2006-08-10 |
| 1497788210 | Konrad Wayne Jarrett | Family Medicine | 15459 Annapolis Rd, Bowie, MD 20715-1847 | 2006-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104304757 | Aynia V Dorsey | Occupational Therapist | 6915 Laurel Bowie Rd Ste 205b, Bowie, MD 20715 | 2018-08-04 |
| 1558852988 | Dmv Foot and Ankle Center | Podiatrist | 15480 Annapolis Rd Ste 202-437, Bowie, MD 20715 | 2018-05-22 |
| 1861918435 | Ryan Leigh Brown | Psychologist | 3231 Superior Lane, Suite, A6, Bowie, MD 20715 | 2017-08-16 |
| 1073060430 | Chinwendu Ezeoru | Nurse Practitioner | 13004 Viewpoint Ln, Bowie, MD 20715 | 2016-09-02 |
| 1386094977 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 15501 Annapolis Rd, Suite 400, Bowie, MD 20715 | 2016-06-15 |
| 1083003164 | Megan Elizabeth Cooper | Social Worker | 2812 Bosworth Ln, Bowie, MD 20715 | 2015-01-13 |
| 1467856740 | Nathan-todd Consulting | Community/Behavioral Health | 3231 Superior Court Lane,# A5, Bowie, MD 20715 | 2014-10-15 |
| 1841534468 | Varsity Professional Rehabilitation and Staffing, LLC | Physical Therapist | 14000 Jericho Park Road, Bowie, MD 20715 | 2012-11-20 |
| 1013269893 | Felix Chukwudi Ohams | Registered Nurse | 7613 Old Chapel Dr, Bowie, MD 20715 | 2012-10-04 |
| 1720336464 | Tara Marie Hatfield | Physical Therapist | 100 Whitemarsh Park Drive, Bowie, MD 20715 | 2012-08-28 |
| Find all providers in zip 20715 | ||||
| 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.