MRS. SUSAN LEE MCKENNA (NPI# 1902303290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902303290 |
Entity Type | Individual |
Full Name | MRS. SUSAN LEE MCKENNA |
Other Name | MS. SUSAN LEE LEAVITT |
Practice Address |
2730 University Blvd W Silver Spring MD 20902-1905 |
Mailing Address |
1900 Lyttonsville Rd Apt 409 Silver Spring MD 20910-2236 |
Practice Telephone | 3019336680 |
Enumeration Date | 2018-04-12 |
Last Update Date | 2018-04-12 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
MD | Ambulatory Health Care Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801140314 | Susan Jean Mckenna | Respiratory Therapist, Registered | 29 Sinclair Dr, Greenlawn, NY 11740-2620 | 2012-11-06 |
1003466335 | Susan Patricia Mckenna | Nurse Practitioner | 1524 Atwood Ave Ste 220, Johnston, RI 02919-3278 | 2019-09-18 |
1447704705 | Susan Alanna Mckenna | Nurse Practitioner | 153 S Main St, Newtown, CT 06470-2791 | 2016-08-04 |
1588719157 | Susan Mckenna | Pediatrics | 1200 N State St, Los Angeles, CA 90033-1029 | 2007-01-24 |
1326123605 | Susan R Mckenna | Physical Therapist | 11112 Pacific Ave S, Tacoma, WA 98444-5749 | 2006-10-26 |
Street Address |
2730 UNIVERSITY BLVD W |
City | SILVER SPRING |
State | MD |
Zip Code | 20902-1905 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649674599 | Smile Care 4 Children | Dentist | 2730 University Blvd W, Suite #1010, Silver Spring, MD 20902-1905 | 2014-10-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508463092 | Zhuozhao Mei, LLC | Dentist | 11514 Georgia Avenue, Silver Spring, MD 20902 | 2020-10-07 |
1942858923 | Joanne Elizabeth Wachowiak | Speech-Language Pathologist | Speech/language Services, 11721 Kemp Mill Rd., Silver Spring, MD 20902 | 2019-09-03 |
1174182893 | Tigist Kasshun Meshesha | Home Health Aide | Cadia Healthcare Wheatob, 4011 Randolph Rd, Silver Spring, MD 20902 | 2019-06-06 |
1265097570 | Susan Crawford | Speech-Language Pathologist | Mcps Speech-language Services, 11721 Kemp Mill Rd, Silver Spring, MD 20902 | 2019-05-02 |
1912470931 | Andrea Voss | Speech-Language Pathologist | Speech and Language Services, 11721 Kemp Mill Road, Silver Spring, MD 20902 | 2019-01-03 |
1003302233 | Zamon Ariel Granger | Private Vehicle | 11633 Veirs Mill Rd, Silver Spring, MD 20902 | 2018-07-11 |
1598259830 | Nechama Malka Koretzky | Speech-Language Pathologist | 1205 North Belgrade Rd, Silver Spring, MD 20902 | 2018-06-20 |
1396238838 | Chun Yin Jethro Mak | Physical Therapist | 2730 University Blvd W Ste 714, Wheaton, MD 20902 | 2018-06-10 |
1942719661 | Right Care Pediatrics Inc | Pediatrics | 2730 University Blvd W Ste 420, Wheaton, MD 20902 | 2017-09-26 |
1881112282 | Michael John Ayun Ayun Cruz | Physical Therapist | 10301 Georgia Ave Suite 105b, Silver Spring, MD 20902 | 2017-09-06 |
Find all providers in zip 20902 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770044513 | Mobile Medical Care, Inc. | Clinic/Center | 8106 Georgia Ave, Silver Spring, MD 20910-4991 | 2019-03-26 |
1336514223 | Community Clinic, Inc. | Clinic/Center | 1398 Lamberton Dr, Silver Spring, MD 20902-3414 | 2015-12-03 |
1588968655 | Community Clinic Inc. | Clinic/Center | 8818 Georgia Ave, Second Floor, Silver Spring, MD 20910-2713 | 2011-01-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528625332 | West Cecil Health Center Inc. | Clinic/Center | 1319 Woodbridge Station Way, Edgewood, MD 21040-3852 | 2019-05-28 |
1013478858 | Mobile Medical Care, Inc. | Clinic/Center | 600 E Gude Dr Bldg A, Rockville, MD 20850-1326 | 2019-03-26 |
1326505090 | Community Clinic Inc. | Clinic/Center | 7474 Greenway Center Dr # 300, Greenbelt, MD 20770-3504 | 2019-02-28 |
1497222103 | Walnut Street Community Health Center, Inc. | Clinic/Center | 221 E Baltimore St, Hagerstown, MD 21740-6109 | 2018-10-31 |
1689160848 | West Cecil Health Center Inc. | Clinic/Center | 200 Road B, Elkton, MD 21921-6695 | 2018-07-10 |
1841786001 | West Cecil Health Center Inc. | Clinic/Center | 100 E Bel Air Ave, Aberdeen, MD 21001-3837 | 2018-07-10 |
1598251753 | West Cecil Health Center Inc. | Clinic/Center | 233 S Bohemia Ave, Cecilton, MD 21913-1010 | 2018-07-10 |
1811403264 | Mary's Center for Maternal and Child Care, Inc- Smart | Clinic/Center | 8910 Riggs Rd, Adelphi, MD 20783-1632 | 2017-12-21 |
1669985032 | Choptank Community Health System Inc | Clinic/Center | 21374 Foster Ave, Tilghman, MD 21671-1230 | 2017-11-08 |
1386157832 | Three Lower Counties Community Services, Inc. | Clinic/Center | 1615 Tree Sap Ct Ste A, Salisbury, MD 21804-9403 | 2017-11-07 |
Find all providers with the same taxonomy |
City | SILVER SPRING |
Zip Code | 20902 |
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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.