Individual provider Active NPI

Naomi E Elcock, RN

  • Home Health Registered Nurse
  • Bowie, MD
National Provider Identifier
1053619346
Registry record updated Mar 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
R075339 Issued in MD
Practice address
15400 Mount Oak Rd
Bowie, MD 20716-1246
Phone
(310) 613-0110
Fax
(301) 390-2549
NPI assigned
Mar 10, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2022

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R075339 MD
Administrator Registered Nurse 163WA2000X R075339 MD
Case Management Registered Nurse 163WC0400X R075339 MD
Continuing Education/Staff Development Registered Nurse 163WC1600X R075339 MD
General Practice Registered Nurse 163WG0000X R075339 MD
Hemodialysis Registered Nurse 163WH0500X R075339 MD
Hospice Registered Nurse 163WH1000X R075339 MD
Wound Care Registered Nurse 163WW0000X R075339 MD
Home Health Registered Nurse 163WH0200X R075339 MD Primary

Addresses

Primary practice location

15400 Mount Oak Rd
Bowie, MD 20716-1246

Mailing address

15400 Mount Oak Rd
Bowie, MD 20716-1246
Phone (301) 613-0110

Other practice location 1

6645 23rd Ave
Hyattsville, MD 20782-1703
Phone (301) 613-0110

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
R075339MDMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Assigned Health Services, Inc CurrentSince Mar 20, 2022 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1299715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646697600000",
    "number": "1053619346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15400 MOUNT OAK RD",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207161246",
            "telephone_number": "301-613-0110",
            "fax_number": "410-523-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15400 MOUNT OAK RD",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207161246",
            "telephone_number": "310-613-0110",
            "fax_number": "301-390-2549"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6645 23rd Ave",
            "address_purpose": "LOCATION",
            "city": "Hyattsville",
            "state": "MD",
            "postal_code": "207821703",
            "country_code": "US",
            "telephone_number": "301-613-0110",
            "fax_number": "410-523-0202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELCOCK",
        "first_name": "NAOMI",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-10",
        "last_updated": "2022-03-08",
        "certification_date": "2022-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R075339",
            "primary": false
        },
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "MD",
            "license": "R075339",
            "primary": false
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "MD",
            "license": "R075339",
            "primary": false
        },
        {
            "code": "163WC1600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Continuing Education/Staff Development",
            "state": "MD",
            "license": "R075339",
            "primary": false
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "MD",
            "license": "R075339",
            "primary": false
        },
        {
            "code": "163WH0500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Hemodialysis",
            "state": "MD",
            "license": "R075339",
            "primary": false
        },
        {
            "code": "163WH1000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Hospice",
            "state": "MD",
            "license": "R075339",
            "primary": false
        },
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "MD",
            "license": "R075339",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "MD",
            "license": "R075339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Mar 8, 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.