Modesta Vesonder CRNP LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MODESTA VESONDER CRNP LLC

Practice address

7301 E Furnace Branch Rd
Glen Burnie, MD 21060-7059

Phone

(443) 548-1708

NPI assigned

Dec 9, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Modesta Vesonder, CRNPNPI 1245480557

Title

Ceo

Phone

(301) 875-1670

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Modesta Vesonder, CRNP

  • Adult Health Nurse Practitioner
  • Glen Burnie, MD
  • NPI 1245480557
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1765238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783987200000",
    "number": "1124982798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7301 E FURNACE BRANCH RD",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210607059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 E FURNACE BRANCH RD",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210607059",
            "telephone_number": "443-548-1708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODESTA VESONDER CRNP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-09",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A",
        "authorized_official_last_name": "VESONDER",
        "authorized_official_first_name": "MODESTA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "301-875-1670",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alaina Mitchell, LMSW
• Autumn Nicole Mitchell
• Douglas Mitchell, MD
• Lanika Mitchell, LCPC, NCC
• Modern NP PLLC
• Faith Chioma Modozie, BEHAVIOR TECHNICIAN
• Mody & Miller, M.D., P.a.
• Harshad R Mody, M.D.
• Mateen Collis Moghbel, MD
• Amir R Moinfar, MD

• Internal Medicine Physician in Glen Burnie, MD
• Providers in Glen Burnie, MD by specialty
• Internal Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.