NPIMap

Organization Active NPI

Neighborhood Nurse

Doing business as Diverse Health

  • Family Nurse Practitioner
  • Upper Marlboro, MD
National Provider Identifier
1043805989
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
NEIGHBORHOOD NURSE
Doing business as
Diverse Health
Practice address
3421 Gentle Breeze Dr Ste a
Upper Marlboro, MD 20772-2549
Phone
(443) 529-2027
NPI assigned
Mar 3, 2021
Last updated
Feb 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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

Authorized official

Name
Timika Fisher, FNP
Title
Director
Phone
(443) 529-2027

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Nursing Care Agency 251J00000X
Clinic/Center 261Q00000X
Primary Care Clinic/Center 261QP2300X
Home Delivered Meals 332U00000X
Family Nurse Practitioner 363LF0000X Primary
Respite Care 385H00000X
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

3421 Gentle Breeze Dr Ste a
Upper Marlboro, MD 20772-2549

Mailing address

3421 Gentle Breeze Dr
Upper Marlboro, MD 20772-2549
Phone (443) 529-2027

Other identifiers 1

IdentifierTypeStateIssuer
889039100MedicaidMD

Other names 1

  • Diverse Health Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address neighborhoodnp123@outlook.com Health Information Exchange (HIE)
Direct Messaging Address neighborhoodnp123@outlook.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

124 Broadkill Rd
Milton, DE 19968
Phone (302) 684-2033

1600 E Forsyth St
Ste C
Americus, GA 31709

111 W 8th St
Unit C
Paris, KY 40361

2905 Mitchellville Rd
Ste 107
Bowie, MD 20716

100 24th St W
Ste 1
Billings, MT 59102

11580 State Route 44
Mantua, OH 44255

1702 W Allen St
Allentown, PA 18104
Phone (484) 393-5883

585 Grove St
Ste 145
Herndon, VA 20170
Phone (202) 855-7936

300 US Route 7 S
Rutland, VT 05701
Phone (802) 417-2203

Virtual Visits Only Address
Olympia, WA 98505

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1614729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739318400000",
    "number": "1043805989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3421 GENTLE BREEZE DR",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207722549",
            "telephone_number": "443-529-2027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3421 GENTLE BREEZE DR STE A",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207722549",
            "telephone_number": "443-529-2027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIGHBORHOOD NURSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-03",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "TIMIKA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "443-529-2027",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "889039100",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "neighborhoodnp123@outlook.com",
            "affiliation": "N",
            "endpointDescription": "secure email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3421 Gentle Breeze Dr",
            "city": "Upper Marlboro",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207722549",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "neighborhoodnp123@outlook.com",
            "affiliation": "N",
            "endpointDescription": "secure email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3421 Gentle Breeze Dr",
            "city": "Upper Marlboro",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207722549",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Diverse Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Upper Marlboro, MD

Sources for this page

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