All Joshua, LLC

Organization Active NPI Psychiatric/Mental Health Registered Nurse · Annapolis, MD

NPI 1801458757 · NPPES record last updated Jul 1, 2019

Key facts

NPI
1801458757
Entity type
Organization (NPI type 2)
Primary specialty
Psychiatric/Mental Health Registered Nurse 163WP0808X
Legal business name
ALL JOSHUA, LLC
Practice address
2568A Riva Rd Ste 202
Annapolis, MD 21401-7456
Phone
(443) 221-7447
Fax
(443) 729-0620
NPI assigned
Jul 1, 2019
Organization subpart
No

Authorized official

Name
Hawanya Tene Jerry
Title
Medical Biller
Phone
(443) 221-7447

Corporate family (same tax ID) 3

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
All Joshua LLC (4 organizations share this tax ID)

Locations

2568A Riva Rd
Ste 202
Annapolis, MD 21401
Phone (201) 591-9030

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor
Group: 193200000X MULTI-SPECIALTY GROUP
101YM0800X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Group: 193200000X MULTI-SPECIALTY GROUP
163WP0807X
Psychiatric/Mental Health Registered Nurse
Group: 193200000X MULTI-SPECIALTY GROUP
163WP0808X Yes
Adult Psychiatric/Mental Health Registered Nurse
Group: 193200000X MULTI-SPECIALTY GROUP
163WP0809X

Addresses

Primary practice location

2568A Riva Rd Ste 202
Annapolis, MD 21401-7456

Mailing address

2568A Riva Rd Ste 202
Annapolis, MD 21401-7456
Phone (443) 221-7447

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 1, 2019.

{
    "created_epoch": "1561939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561939200000",
    "number": "1801458757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2568A RIVA RD STE 202",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017456",
            "telephone_number": "443-221-7447",
            "fax_number": "443-729-0620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2568A RIVA RD STE 202",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017456",
            "telephone_number": "443-221-7447",
            "fax_number": "443-729-0620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALL JOSHUA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-01",
        "last_updated": "2019-07-01",
        "status": "A",
        "authorized_official_last_name": "JERRY",
        "authorized_official_first_name": "HAWANYA",
        "authorized_official_middle_name": "TENE",
        "authorized_official_title_or_position": "MEDICAL BILLER",
        "authorized_official_telephone_number": "443-221-7447"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WP0807X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "163WP0809X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

All providers in Annapolis, MD · Psychiatric/Mental Health Registered Nurse in Maryland

Sources for this page

Verify at the official NPI Registry.