TRIDENTUSA MOBILE CLINICAL SERVICES, LLC (NPI# 1942554837) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942554837 |
| Entity Type | Organization |
| Organization Name | TRIDENTUSA MOBILE CLINICAL SERVICES, LLC |
| Other Organization Name | TRIDENTCARE CLINICAL SERVICES LLC |
| Practice Address |
930 Ridgebrook Rd Fl 3 Sparks MD 21152 |
| Mailing Address |
Po Box 538420 Atlanta GA 30353-8420 |
| Practice Telephone | 8009400389 |
| Practice Fax Number | 8662412815 |
| Mailing Telephone | 8009400389 |
| Mailing Fax Number | 8662412815 |
| Enumeration Date | 2012-10-31 |
| Last Update Date | 2020-02-11 |
| Authorized Official Name | DAVID DUNCAN (VP OF REVENUE CYCLE) |
| Authorized Official Telephone | 2525456555 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| TridentCare Clinical Services LLC | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporations | TridentUSA Mobile Clinical Services, LLC | 150 Fayetteville St., Box 1011, Raleigh, NC 27601-2957 |
| Street Address |
930 RIDGEBROOK RD FL 3 |
| City | SPARKS |
| State | MD |
| Zip Code | 21152 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528321635 | Caitlin Lee Sprouse | Occupational Therapist | 14550a York Road, Sparks, MD 21152 | 2012-06-22 |
| 1184954679 | Suzanne Heid Geisbert | Behavioral Analyst | 14550 York Rd, Sparks, MD 21152 | 2010-01-05 |
| 1790850519 | Joan Li Wang | Obstetrics & Gynecology | 913 Ridgebrook Road, Suite 314, Sparks, MD 21152 | 2006-11-21 |
| 1346331410 | Rosemaria K Kariampuzha | Pharmacist | 112 Hunt Creek Lane, Sparks, MD 21152 | 2006-09-27 |
| 1982649810 | Matthew Joseph Lepito | Chiropractor | 10 Fila Way, Suite 208, Sparks, MD 21152 | 2006-06-17 |
| 1467415984 | Bionicare Medical Technologies Inc | Durable Medical Equipment & Medical Supplies | 53 Loveton Circle, Sparks, MD 21152 | 2006-04-07 |
| 1093797839 | Aubrey Richardson | Psychiatry & Neurology | 164 English Run Cir, Sparks, MD 21152 | 2005-11-17 |
| 1184110710 | Alexis Crystal Cruz | Behavior Technician | 14550 York Rd, Sparks, MD 21152 | 2018-07-06 |
| 1346670619 | Alicia C. Kilpatrick | Physician Assistant | 10 Fila Way, Suite 205, Sparks, MD 21152 | 2013-11-22 |
| 1730361940 | Englert Dermatology LLC | Dermatology | 10 Fila Way, Suite 205, Sparks Glencoe, MD 21152 | 2007-11-29 |
| Find all providers in zip 21152 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134764012 | Janette Munoz | Nurse Practitioner | 2135 Green Vista Dr Ste 109, Sparks, NV 89431-8514 | 2019-11-14 |
| 1457667867 | George W. Rodway | Nurse Practitioner | 2145 Green Vista Dr Ste 112-b, Sparks, NV 89431-8543 | 2010-08-23 |
| 1598309288 | Diana Westwood | Nurse Practitioner | 1950 Baring Blvd, Sparks, NV 89434-6735 | 2019-11-05 |
| 1174908826 | Carrie Lynn Yamamoto | Nurse Practitioner | 2385 E Prater Way Ste 302, Sparks, NV 89434-9638 | 2015-07-23 |
| 1578903639 | Jayme Lyn Yocom | Nurse Practitioner | 1950 Baring Blvd, Sparks, NV 89434 | 2013-07-02 |
| 1700174802 | Kristen Elizabeth Baughman | Nurse Practitioner | 480 Galletti Way, Sparks, NV 89431 | 2011-07-11 |
| 1730416199 | Narmeen N Dababneh | Nurse Practitioner | 480 Galletti Way, Sparks, NV 89431 | 2009-11-05 |
| 1770544983 | Murphy Allen | Nurse Practitioner | 480 Galletti Way, Sparks, NV 89431-5564 | 2006-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558961250 | Cassandra Jordan Holmes | Nurse Practitioner | 10 Center Drive Lcim Niaid Nih, Bethesda, MD 20892-0001 | 2020-10-30 |
| 1962000679 | Laly Sorto | Nurse Practitioner | 923 S Curley St, Baltimore, MD 21224-4825 | 2020-10-14 |
| 1841897139 | Ha Le | Nurse Practitioner | 160 Ritchie Hwy, Severna Park, MD 21146-1120 | 2020-10-08 |
| 1386241685 | Audrey Roxanne Mathew | Nurse Practitioner | 546 N Frederick Ave # 1490, Gaithersburg, MD 20877-2504 | 2020-10-08 |
| 1093312209 | Shelby Bruno | Nurse Practitioner | 29 S Greene St Fl 2, Baltimore, MD 21201-1504 | 2020-10-01 |
| 1295342772 | Gilead Associates LLC | Nurse Practitioner | 206 Mulberry Ridge Ct, Pasadena, MD 21122-7514 | 2020-09-28 |
| 1659986735 | Tatyana Vladimirovna Valentin | Nurse Practitioner | 490 Cadmus Ln Ste 102, Easton, MD 21601-4091 | 2020-09-15 |
| 1205440328 | Courtney Lavon Phillip | Nurse Practitioner | 4461 Pleasant Hill Ct, Pomfret, MD 20675-3104 | 2020-09-04 |
| 1386256634 | Steven Carroll | Nurse Practitioner | 731 Crisfield Way, Annapolis, MD 21401-4576 | 2020-08-18 |
| 1346850666 | Cynthia Adwoah Mireku-baabu | Nurse Practitioner | 19241 Sharon Dr, Hagerstown, MD 21742-2433 | 2020-08-01 |
| Find all providers with the same taxonomy | ||||
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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.