JOANN JOHNSON STAKEM (NPI# 1912020074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912020074 |
Entity Type | Individual |
Full Name | JOANN JOHNSON STAKEM |
Credential | R.N. |
Practice Address |
791 Aquahart Rd Ste 200 Glen Burnie MD 21061-3950 |
Mailing Address |
7847 Creek Shore Way Baltimore MD 21226-2149 |
Practice Telephone | 4102226625 |
Practice Fax Number | 4102226679 |
Mailing Telephone | 4104372276 |
Enumeration Date | 2007-04-06 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WC1500X |
Registered Nurse Specialization: Community Health |
R039432 | MD | Nursing Service Providers |
Street Address |
791 AQUAHART RD STE 200 |
City | GLEN BURNIE |
State | MD |
Zip Code | 21061-3950 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255814422 | Lotus Behavioral Health and Rehabilitation Services Inc. | Behavior Technician | 6426 Harrison Square, Glen Burnie, MD 21061 | 2018-09-12 |
1942795315 | Tina Brown | Behavior Technician | Rise for Autism, 510 Mccormick Drive, Ste. U-w, Glen Burnie, MD 21061 | 2018-06-27 |
1205351905 | Digna Emerita Sanchez De Vasquez | Specialist/Technologist, Other | 201 Fernglen Ave, Glen Burnie, MD 21061 | 2017-08-03 |
1255780300 | Rachel Cutts | Physical Therapist | 7711 Quarterfield Rd Ste C2, Glen Burnie, MD 21061 | 2016-06-09 |
1295181170 | Gaudenzia, Inc. | Counselor | 5 Crain Highway North - Rear Suite Entrance, Glen Burnie, MD 21061 | 2016-05-10 |
1023499548 | Mary Bourbon | Nurse Practitioner | 1600 S. Cain Highway, Suite 401, Glen Burnie, MD 21061 | 2015-06-10 |
1972997724 | Robert Oladeinde | Physician Assistant | 6934 Aviation Blvd Suite B, Glen Burnie, MD 21061 | 2015-03-18 |
1205248069 | Cathy Qing He | Anesthesiology | 1600 Crain Hwy S Ste 301, Glen Burnie, MD 21061 | 2014-05-28 |
1477974764 | Shannon Holder | Nurse Practitioner | 1916 Crain Hwy S Ste 2, Glen Burnie, MD 21061 | 2014-01-03 |
1629404207 | Marla Ann Muha | Physician Assistant | 301 Hospital Dr # 803, Glen Burnie, MD 21061 | 2013-09-16 |
Find all providers in zip 21061 |
Taxonomy Code | 163WC1500X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Community Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770709578 | Susan Renee Tokarcik | Registered Nurse | 416 A St Sw, Glen Burnie, MD 21061-3406 | 2007-04-18 |
1417070657 | Mariam Halicia Taherian | Registered Nurse | 791 Aquahart Road, Suite 200, Glen Burnie, MD 21061 | 2007-04-10 |
1275908691 | Mary Jo Iacovelli | Registered Nurse | 600 East Ordnance Road, Glen Burnie, MD 21060 | 2015-12-10 |
1114398518 | Candice Allen | Registered Nurse | 122 Langley Road North, Suite B, Glen Burnie, MD 21060 | 2015-10-12 |
1023489523 | Vickey Lynn Richardson | Registered Nurse | 122 Langley Road North, Suite B, Glen Burnie, MD 21060 | 2015-10-12 |
1730570334 | Stephanie Diane Kerr | Registered Nurse | 122 Langley Road North, Suite B, Glen Burnie, MD 21060 | 2015-02-18 |
1053719997 | Ossolita Demory | Registered Nurse | 600 East Ordnance Road, Glen Burnie, MD 21060-2200 | 2014-12-09 |
1598010779 | Dawn Jeanette Rusen | Registered Nurse | 122 Langley Road North, Suite B, Glen Burnie, MD 21060 | 2012-07-13 |
1952673485 | Sarah Ann Myers | Registered Nurse | 122 Langley Road North, Suite B, Glen Burnie, MD 21060 | 2012-01-30 |
1104118991 | Robin Lee Baird | Registered Nurse | 122 Langley Road North, Suite B, Glen Burnie, MD 21060 | 2011-05-11 |
Find all providers in GLEN BURNIE |
City | GLEN BURNIE |
Zip Code | 21061 |
Please comment or provide details below to improve the information on JOANN JOHNSON STAKEM.
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.