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NPI 1003108234ActiveOrganization· Registered Nurse· Waldorf, MD

Registered Nurse in Waldorf, Maryland, registered in NPPES in May 2011. The authorized official on file is Kimberly Peacock, RN, BSN, CCM, Office Manager.

Overview

NPI1003108234
StatusActive
Entity typeOrganization
NPI issuedMay 5, 2011
Last updated in NPPESMay 5, 2011

Specialties and licenses

TaxonomyCodeLicenseState
Registered Nurse Primary163W00000XR165231MD

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Registered Nurse providers in Waldorf

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