CASANDRA BLACK (NPI# 1942845748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942845748 |
| Entity Type | Individual |
| Full Name | CASANDRA BLACK |
| Practice Address |
11514 Homestead Dr Upper Marlboro MD 20774-5768 |
| Practice Telephone | 2404818616 |
| Mailing Telephone | 2404818616 |
| Enumeration Date | 2019-11-15 |
| Last Update Date | 2019-11-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | RN1037835 | DC | Nursing Service Providers |
| Street Address |
11514 HOMESTEAD DR |
| City | UPPER MARLBORO |
| State | MD |
| Zip Code | 20774-5768 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922637156 | Marie Charlotte Teboutsou Tsodzou | Nurse Practitioner | 9317 Lavall Drive, Upper Marlboro, MD 20774 | 2020-04-08 |
| 1467093443 | Richland Support Services Corp. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11551 Joyceton Drive, Upper Marlboro, MD 20774 | 2019-10-01 |
| 1770134124 | Alan L Kahn | Counselor | 301 Largo Rd., Largo, MD 20774 | 2019-09-26 |
| 1619522034 | Francisca Ifeoma Alintah | Registered Nurse | 511 Dennis Magruder Dr., Upper Marlboro, MD 20774 | 2019-08-02 |
| 1609337146 | Crystal Osuchukwu | Counselor | 1300 Mccormick Dr, Upper Marlboro, MD 20774 | 2019-03-27 |
| 1861968489 | Collaborative Concepts of Maryland | Counselor | 1400 Mercantile Lane, Suite 208, Largo, MD 20774 | 2018-10-22 |
| 1073097622 | Triple Angels Homecare Services, Inc. | In Home Supportive Care | 1210 Dixie Bowie Way, Upper Marlboro, MD 20774 | 2018-09-19 |
| 1922589654 | Optimum Resource Services, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 711 Harry S. Truman Dr, Unit #105, Largo, MD 20774 | 2018-08-21 |
| 1811475254 | Kolawole Richard Olatunde | Home Health Aide | 11405 Villa Court, Upper Marlboro, MD 20774 | 2018-07-28 |
| 1548747769 | Tiara Williams | Counselor | 15207 Harriet Clotilda Way, Upper Marlboro, MD 20774 | 2018-07-20 |
| Find all providers in zip 20774 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831709013 | Zuliat Alabi | Registered Nurse | 9902 Brookhaven Ln, Upper Marlboro, MD 20772-6689 | 2020-08-03 |
| 1538704242 | Jacqueline Warah | Registered Nurse | 7202 Checkerberry Way, Upper Marlboro, MD 20772-6340 | 2019-11-18 |
| 1700358579 | Diana Nyanzu | Registered Nurse | 11309 Kettering Pl, Upper Marlboro, MD 20774-1574 | 2018-12-18 |
| 1275018277 | Kadie Nkemanteh | Registered Nurse | 3014 Winterbourne Dr, Upper Marlboro, MD 20774-9105 | 2018-09-26 |
| 1013455898 | Foluke Titilayo Omobo | Registered Nurse | 17008 Usher Pl, Upper Marlboro, MD 20772-3443 | 2017-02-01 |
| 1982153458 | Bola Hannah Rodoye | Registered Nurse | 13006 Burleigh St, Upper Marlboro, MD 20774-1918 | 2016-09-26 |
| 1912453572 | Stella Okoro | Registered Nurse | 1011 Peconic Place, Upper Marlboro, MD 20774-5704 | 2016-09-01 |
| 1326491671 | Ahaoma Rose Nnebedum | Registered Nurse | 1904 Robert Bowie Dr, Upper Marlboro, MD 20774-5667 | 2016-07-21 |
| 1336591981 | Regina Ekong | Registered Nurse | 13908 Edsall St, Upper Marlboro, MD 20772-6849 | 2016-07-07 |
| 1598139214 | Linda Barnes | Registered Nurse | 11504 Maryvale Rd, Upper Marlboro, MD 20772-3908 | 2015-11-18 |
| Find all providers in UPPER MARLBORO | ||||
| City | UPPER MARLBORO |
| Zip Code | 20774 |
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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.