Individual provider Active NPI

Marie Binta Kanu

  • Family Nurse Practitioner
  • Bowie, MD
National Provider Identifier
1023750783
Registry record updated Apr 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F10210061 Issued in MD
Practice address
10201 Tulip Tree Dr
Bowie, MD 20721-3700
Phone
(240) 460-5287
NPI assigned
Apr 12, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F10210061 MD Primary

Addresses

Primary practice location

10201 Tulip Tree Dr
Bowie, MD 20721-3700

Mailing address

10201 Tulip Tree Dr
Bowie, MD 20721-3700
Phone (240) 460-5287

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address marie.kanu@nih.gov Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
F10210061MDMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1649721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649721600000",
    "number": "1023750783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10201 TULIP TREE DR",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207213700",
            "telephone_number": "240-460-5287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10201 TULIP TREE DR",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207213700",
            "telephone_number": "240-460-5287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANU",
        "first_name": "MARIE",
        "middle_name": "BINTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-12",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "F10210061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "marie.kanu@nih.gov",
            "affiliation": "N",
            "endpointDescription": "VPN work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "10201 Tulip Tree Dr",
            "city": "Bowie",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207213700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2022; 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.