BISRAT MESFIN (NPI# 1770992596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770992596 |
| Entity Type | Individual |
| Full Name | BISRAT MESFIN |
| Credential | PMHNP-BC |
| Practice Address |
975 Solomons Island Rd N Prince Frederick MD 20678-3917 |
| Mailing Address |
5601 Seminary Rd Apt 2402 Falls Church VA 22041-3530 |
| Practice Telephone | 4105355400 |
| Enumeration Date | 2014-08-06 |
| Last Update Date | 2014-08-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
AC001390 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
975 SOLOMONS ISLAND RD N |
| City | PRINCE FREDERICK |
| State | MD |
| Zip Code | 20678-3917 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629057484 | Calvert Substance Abuse Services | Substance Abuse Rehabilitation Facility | 975 Solomons Island Rd N, Prince Frederick, MD 20678 | 2006-01-11 |
| 1841843224 | Jennifer Faulkner | Health Educator | 975 Solomons Island Rd N, Prince Frederick, MD 20678-3917 | 2019-07-24 |
| 1740848423 | Calvert County Health Department | Health Educator | 975 Solomons Island Rd N, Prince Frederick, MD 20678-3917 | 2019-05-29 |
| 1922573534 | Emma-ann Nowak | Social Worker | 975 Solomons Island Rd N, Prince Frederick, MD 20678-3917 | 2018-10-10 |
| 1659853661 | Jacqueline Lenore Waul | Student in an Organized Health Care Education/Training Program | 975 Solomons Island Rd N, Prince Frederick, MD 20678-3917 | 2018-09-06 |
| 1710469564 | Torrey Rachelle Shipman | Student in an Organized Health Care Education/Training Program | 975 Solomons Island Rd N, Prince Frederick, MD 20678-3917 | 2018-08-29 |
| 1235625096 | Carrie Marie White | Registered Nurse | 975 Solomons Island Rd N, Prince Frederick, MD 20678-3917 | 2018-07-05 |
| 1164916441 | Amanda Kurtz | Social Worker | 975 Solomons Island Rd N, Prince Frederick, MD 20678-3917 | 2018-06-19 |
| 1659868271 | Katelynn Mae Liptak | Social Worker | 975 Solomons Island Rd N, Prince Frederick, MD 20678-3917 | 2018-04-19 |
| 1144747056 | Allison Lorraine Krichbaum | Counselor | 975 Solomons Island Rd N, Prince Frederick, MD 20678-3917 | 2017-08-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861857500 | Watershed Counseling Service | Counselor | 246 Merrimac Court, Prince Frederick, MD 20678 | 2015-12-23 |
| 1023449642 | Mary Gordon Walter | Registered Nurse | 976 Solomans Island Road, Prince Frederick, MD 20678 | 2013-12-07 |
| 1891126827 | Jacqueline Leclercq | Nurse Practitioner | 110 Hospital Road Suite 303, Prince Frederick, MD 20678 | 2013-12-02 |
| 1174959001 | Linsey Rowe Heane | Physical Therapist | 110 Main Street Suite 1, Prince Frederick, MD 20678 | 2013-09-24 |
| 1053607002 | Tidewater Dental Pf | Dentist | 690 Prince Frederick Blvd, Prince Frederick, MD 20678 | 2011-06-28 |
| 1033411558 | Sharon Patricia Parran | Pharmacist | 80 W.dares Beach Road, Prince Frederick, MD 20678 | 2010-12-04 |
| 1366684326 | Prince Frederick Surgery Center LLC | Clinic/Center | 70 Sherry Lane, Suite 101, Prince Frederick, MD 20678 | 2009-04-06 |
| 1982844734 | Orthocare Solutions Inc | Durable Medical Equipment & Medical Supplies | 220 Old Solomans Island Rd, Prince Frederick, MD 20678 | 2009-03-05 |
| 1225273519 | Rebecca Lynn Jahed | Audiologist | 3180 Blackberry Lane, Prince Frederick, MD 20678 | 2008-12-16 |
| 1669639209 | Ralph Walter Niemann | Dentist | 272 Merrimac Court, Prince Frederick, MD 20678 | 2008-05-21 |
| Find all providers in zip 20678 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316285109 | Olga Baturenko | Nurse Practitioner | 975 Solomons Island Rd North, Prince Frederick, MD 20678 | 2013-01-29 |
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| 1639776446 | Serenity Heart Healthcare, LLC | Nurse Practitioner | 6755 Business Pkwy Ste 304, Elkridge, MD 21075-6740 | 2020-10-05 |
| 1689281529 | Premier Psychiatry, LLC | Nurse Practitioner | 10601 Virginia Ave, Cockeysville, MD 21030-2315 | 2020-09-24 |
| 1407462559 | Mem Scepter Home & Behavioral | Nurse Practitioner | 14104 Dawn Whistle Way, Bowie, MD 20721-1304 | 2020-09-23 |
| Find all providers with the same taxonomy | ||||
| City | PRINCE FREDERICK |
| Zip Code | 20678 |
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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.