ELIZABETH CUSTODIO BOWERY (NPI# 1962659557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962659557 |
Entity Type | Individual |
Full Name | ELIZABETH CUSTODIO BOWERY |
Practice Address |
611 S Charles St Fourth Floor Baltimore MD 21230-3801 |
Mailing Address |
701 W Pratt St Third Floor Room 357 Baltimore MD 21201-1023 |
Practice Telephone | 4103282293 |
Practice Fax Number | 4103285895 |
Mailing Telephone | 4103287037 |
Mailing Fax Number | 4103283311 |
Enumeration Date | 2008-08-26 |
Last Update Date | 2008-08-26 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Street Address |
611 S CHARLES ST FOURTH FLOOR |
City | BALTIMORE |
State | MD |
Zip Code | 21230-3801 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487662243 | Independent Dialysis Foundation, Inc | Clinic/Center | 611 S Charles St, Baltimore, MD 21230-3801 | 2006-08-04 |
1821348608 | Melanie L Ervin | Registered Nurse | 611 S Charles St, Carruthers Clinic, Baltimore, MD 21230-3801 | 2012-09-19 |
1871887679 | Carrie H Etheridge | Social Worker | 611 S Charles St, Baltimore, MD 21230-3801 | 2011-06-09 |
1306130117 | University of Maryland Medical Center | Social Worker | 611 S Charles St, Suite 4, Baltimore, MD 21230-3801 | 2011-06-09 |
1437488103 | Shawna Denise Brown | Social Worker | 611 S Charles St, 4th Floor, Baltimore, MD 21230-3801 | 2009-12-09 |
1841453339 | Kristan Halaiko | Social Worker | 611 S Charles St, Fourth Floor, Baltimore, MD 21230-3801 | 2008-07-07 |
1275744351 | Carole M Booth | Psychologist | 611 S Charles St, Fourth Floor, Baltimore, MD 21230-3801 | 2007-05-24 |
1093924565 | Elliot L Hong | Psychologist | 611 S Charles St, Fourth Floor, Baltimore, MD 21230-3801 | 2007-05-22 |
1215946041 | Renee Lynn Watters | Social Worker | 611 S Charles St, Baltimore, MD 21230-3801 | 2006-08-08 |
1992714893 | Stepahnie Christine Boudreau | Social Worker | 611 S Charles St, Baltimore, MD 21230-3801 | 2006-08-07 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235739558 | Margaret Webb | Registered Nurse | Medstar Health, 1420 Key Highway, Baltimore, MD 21230 | 2020-10-27 |
1497381263 | Hawkes Counseling Services | Counselor | 837 Washington Blvd, Suite B, Baltimore, MD 21230 | 2020-03-12 |
1821570011 | Lisa Le | Social Worker | 1623 Covington St, Baltimore, MD 21230 | 2018-09-04 |
1396237673 | Kinderhealth, LLC | Nurse Practitioner | 10 W West St, Baltimore, MD 21230 | 2018-06-03 |
1144745068 | Charles Billingsley | Counselor | 909 W Barre St, Baltimore, MD 21230 | 2017-08-11 |
1447791058 | Elizabeth Richmond | Nurse Practitioner | 2 East Wells Apt 179, Baltimore, MD 21230 | 2017-03-15 |
1952775389 | Courtney Schwalbe | Speech-Language Pathologist | 600 S Paca Street, Baltimore, MD 21230 | 2015-11-23 |
1093071920 | Glass Health Programs, Inc | Clinic/Center | 1801 Cherry Hill Rd, Baltimore, MD 21230 | 2012-04-04 |
1487937512 | Harris Teeter, LLC | Pharmacy | 1801 Whetstone Way, Baltimore, MD 21230 | 2011-09-26 |
1487980280 | Ife A Thompson | Physician Assistant | 601 S. Charles Street, Baltimore, MD 21230 | 2009-10-29 |
Find all providers in zip 21230 |
Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497355879 | Cristina Diana Ghinda | Student in an Organized Health Care Education/Training Program | 600 N Wolfe St Bldg 8, Baltimore, MD 21287-0005 | 2020-10-27 |
1265043160 | Kathryn Ann Ritchie | Student in an Organized Health Care Education/Training Program | 1750 E Fairmount Ave Dept Of, Baltimore, MD 21231-1534 | 2020-08-13 |
1053929372 | Rod Guerrero Salgado | Student in an Organized Health Care Education/Training Program | 140 N Luzerne Ave, Baltimore, MD 21224-1147 | 2020-07-22 |
1518585470 | Meshref Ayed Alshehri | Student in an Organized Health Care Education/Training Program | 22 S. Greene Street, Room N3e09, Baltimore, MD 21201 | 2020-07-08 |
1174140503 | Thomas Dimitrios Zaikos | Student in an Organized Health Care Education/Training Program | Pathology Building Rm. 401, 600 N. Wolfe Street, Baltimore, MD 21287 | 2020-07-01 |
1649897158 | Michael William Mikula | Student in an Organized Health Care Education/Training Program | Pathology Bldg., Rm. 401, 600 N Wolfe St, Baltimore, MD 21287-0005 | 2020-06-30 |
1154948743 | Kamilah S Brown | Student in an Organized Health Care Education/Training Program | 437 E Lorraine Ave, Baltimore, MD 21218-4713 | 2020-06-29 |
1306462411 | Michael Julian Wong | Student in an Organized Health Care Education/Training Program | University of Maryland, Department of Anesthesiology, 22 S Green St, S11b, Baltimore, MD 21201 | 2020-06-24 |
1467077479 | Nashedra Barry | Student in an Organized Health Care Education/Training Program | 301 N Charles St Apt M1, Baltimore, MD 21201-4397 | 2020-06-15 |
1205451804 | Ryan Robert Keoni Ingle | Student in an Organized Health Care Education/Training Program | 29 S Greene St Ste 400, Baltimore, MD 21201-1504 | 2020-06-10 |
Find all providers in BALTIMORE |
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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.