TYRAHNA JEFFERSON CRANIAL PROSTHESIS
NPI 1649629064
Specialist - Prosthetics Case Management in Baltimore, MD

Active since June 07, 2016
6340 SECURITY BLVD STE 100, BALTIMORE, MD 21207(410) 304-3127 Get Directions Write a Review

NPPES record last updated: August 14, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Specialist
  • Prosthetics Case Management

About TYRAHNA JEFFERSON

This page provides the complete NPI Profile along with additional information for Tyrahna Jefferson, a provider established in Baltimore, Maryland with a medical specialization in Specialist, focusing in prosthetics case management . The healthcare provider is registered in the NPI registry with number 1649629064 assigned on June 2016. The practitioner's primary taxonomy code is 1744P3200X. The provider is registered as an individual and her NPI record was last updated 3 years ago.

NPI
1649629064 Verify this NPI
Provider Name
TYRAHNA JEFFERSON CRANIAL PROSTHESIS
Gender
Female
Entity Type
Individual
Location Address
6340 SECURITY BLVD STE 100 BALTIMORE, MD 21207
Location Phone
(410) 304-3127
Mailing Address
6340 SECURITY BLVD STE 100 BALTIMORE, MD 21207
Mailing Phone
(410) 304-3127
Is Sole Proprietor?
No
Enumeration Date
06-07-2016
Last Update Date
08-14-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist Prosthetics Case Management

Taxonomy Code
1744P3200X
Type
Other Service Providers
Taxonomy Description
Under the Other Service Providers; Specialist the Prosthetics Case Management definition changed to: A case manager who provides services for patients with prosthetics.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1173C00000XOther Service Providers

Reflexologist

 
2174400000XOther Service Providers

Specialist

 

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Nurse Practitioner (Family)
6340 SECURITY BLVD STE 100
BALTIMORE, MD 21207
Behavior Technician
6340 SECURITY BLVD STE 100
BALTIMORE, MD 21207
Psychologist (Rehabilitation)
6340 SECURITY BLVD STE 100
BALTIMORE, MD 21207
Community/Behavioral Health
6340 SECURITY BLVD STE 100
BALTIMORE, MD 21207
Clinic/Center (Mental Health (Including Community Mental Health Center))
6340 SECURITY BLVD STE 100
BALTIMORE, MD 21207
Social Worker (Clinical)
6340 SECURITY BLVD STE 100
BALTIMORE, MD 21207
Specialist (Prosthetics Case Management)
6340 SECURITY BLVD STE 100
BALTIMORE, MD 21207
Technician, Pathology (Phlebotomy)
6340 SECURITY BLVD STE 100
BALTIMORE, MD 21207
Clinic/Center (Adult Mental Health)
6340 SECURITY BLVD STE 100
BALTIMORE, MD 21207
Clinic/Center (Adult Mental Health)
6340 SECURITY BLVD STE 100
BALTIMORE, MD 21207
Technician, Pathology (Phlebotomy)
6340 SECURITY BLVD STE 100
BALTIMORE, MD 21207
Prosthetist
6340 SECURITY BLVD STE 100
BALTIMORE, MD 21207
Clinic/Center (Health Service)
6340 SECURITY BLVD STE 100
BALTIMORE, MD 21207
Psychiatry & Neurology (Psychiatry)
6340 SECURITY BLVD STE 100
BALTIMORE, MD 21207
Clinic/Center (Mental Health (Including Community Mental Health Center))
6340 SECURITY BLVD STE 100
BALTIMORE, MD 21207
Behavior Technician
6340 SECURITY BLVD STE 100
BALTIMORE, MD 21207
Nurse Practitioner (Family)
6340 SECURITY BLVD STE 100
BALTIMORE, MD 21207
Clinic/Center (Mental Health (Including Community Mental Health Center))
6340 SECURITY BLVD STE 100
BALTIMORE, MD 21207
Behavior Analyst
6340 SECURITY BLVD STE 100
BALTIMORE, MD 21207
Internal Medicine (Hematology & Oncology)
6340 SECURITY BLVD STE 100
BALTIMORE, MD 21207

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1649629064, enumerated as an "individual" on June 07, 2016.

The provider is located at 6340 SECURITY BLVD STE 100 BALTIMORE, MD 21207 and the phone number is (410) 304-3127.

Specialist with taxonomy code 1744P3200X and a focus in Prosthetics Case Management.