Poa Sana Healthcare Services & Consultants LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

POA SANA HEALTHCARE SERVICES & CONSULTANTS LLC

Practice address

2 Post Office Rd Ste 4a
Waldorf, MD 20602-2726

Phone

(202) 489-6118

NPI assigned

Aug 15, 2024

Organization subpart

No

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

Authorized official

Name

Jane P KutsushiNPI 1710433693

Title

Psychiatry Nurse Practitioner

Phone

(202) 489-6118

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

Practitioners 1

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

• Jane Kutsushi, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Waldorf, MD
  • NPI 1710433693

  DC

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1723680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724284800000",
    "number": "1497587828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9497 PEP RALLY LN",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206033898",
            "telephone_number": "202-489-6118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 POST OFFICE RD STE 4A",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206022726",
            "telephone_number": "202-489-6118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POA SANA HEALTHCARE SERVICES & CONSULTANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-15",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A",
        "authorized_official_last_name": "KUTSUSHI",
        "authorized_official_first_name": "JANE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PSYCHIATRY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "202-489-6118"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Pinto
• Moez L Pirmohamed, MD
• Kelly Regina Plange, RN, MSN
• Gillian L Plenty, LGPC
• PM Kids Plus
• Podiatry Group of Waldorf
• Justin G. Pointer, D.P.M.
• Mark Antoine Ponds
• Jailyn Renee Ponzo
• Irene Posey, M.ED.

• Psychiatric/Mental Health Nurse Practitioner in Waldorf, MD
• Providers in Waldorf, MD by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.