NPIMap

Organization Active NPI

GSS Provita Services LLC

  • Urgent Care Clinic/Center
  • Gaithersburg, MD
National Provider Identifier
1033092259
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
GSS PROVITA SERVICES LLC
Practice address
9711 Washingtonian Blvd Ste 550
Gaithersburg, MD 20878-5789
Phone
(240) 949-4034
NPI assigned
Jul 28, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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

Authorized official

Name
Guillana Simon, CRNPNPI 1497270110
Title
Owner/Founder
Phone
(240) 222-2667

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

9711 Washingtonian Blvd Ste 550
Gaithersburg, MD 20878-5789

Mailing address

150 Monroe St Apt 101
Rockville, MD 20850-2518
Phone (240) 222-2667

National Provider Directory

National Provider Directory

Locations

9711 Washingtonian Blvd
Ste 500
Gaithersburg, MD 20878
Phone (240) 262-3697

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1753660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761696000000",
    "number": "1033092259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 MONROE ST APT 101",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208502518",
            "telephone_number": "240-222-2667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9711 WASHINGTONIAN BLVD STE 550",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208785789",
            "telephone_number": "240-949-4034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GSS PROVITA SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-28",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "GUILLANA",
        "authorized_official_title_or_position": "OWNER/FOUNDER",
        "authorized_official_telephone_number": "240-222-2667",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2025; 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.