EILEEN M PACK (NPI# 1992078141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992078141 |
| Entity Type | Individual |
| Full Name | EILEEN M PACK |
| Credential | CRNP |
| Practice Address |
322 E Cecil Ave # 1 North East MD 21901-4012 |
| Practice Telephone | 4102875570 |
| Mailing Telephone | 4102875570 |
| Enumeration Date | 2012-02-20 |
| Last Update Date | 2013-04-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | AC001006 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363L00000X | Nurse Practitioner | R125856 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | PENDING | 05 |
| Street Address |
322 E CECIL AVE # 1 |
| City | NORTH EAST |
| State | MD |
| Zip Code | 21901-4012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922653104 | Beth Anders | Social Worker | 2057 Pulaski Highway, North East, MD 21901 | 2019-08-05 |
| 1679029243 | Brenda Fitzgerald | Dental Hygienist | 2057 Pulasky Hwy., Suite 2, North East, MD 21901 | 2016-09-01 |
| 1275818239 | Norman Lane Tosh | Pharmacist | 2556 W Pulaski Hwy, Northj East, MD 21901 | 2011-10-20 |
| 1013194034 | James Moorhouse | Registered Nurse | Perry Point Vamhcs, Perry Point, MD 21901 | 2008-01-22 |
| 1861672016 | Lynda Rae Kopishke | Case Manager/Care Coordinator | 109 North East Isles Drive, Suite 100, North East, MD 21901 | 2007-11-05 |
| 1134220981 | Eckerd Corporation | Durable Medical Equipment & Medical Supplies | 101 Northeast Road, North East, MD 21901 | 2006-09-26 |
| 1245258516 | Julie T Poludniak | Family Medicine | 322 East Cecil Aveneue, Suite 1, North East, MD 21901 | 2006-07-17 |
| 1730252677 | Carolyn Marie Wells | Social Worker | 1930 Turkey Point Rd, North East, MD 21901 | 2006-11-16 |
| 1881641132 | Keith R Sokoloff | Family Medicine | 14 Rogers Rd, North East, MD 21901 | 2006-05-30 |
| 1538715255 | Ashley Amirah Copes | Behavior Technician | 219 Old Elm Rd, North East, MD 21901-1304 | 2019-08-18 |
| Find all providers in zip 21901 | ||||
| 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 |
|---|---|---|---|---|
| 1699243824 | Kaitlyn Marie Kaiser | Nurse Practitioner | 2060 N Pearl St, North East, PA 16428-1926 | 2018-11-06 |
| 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 | ||||
| City | NORTH EAST |
| Zip Code | 21901 |
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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.