Active NPI
Joan Wambui
- Family Nurse Practitioner
- Owings Mills, MD
National Provider Identifier
1063181717
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R192881
- Practice address
- 141 Gentlebrook Rd
Owings Mills, MD 21117-2451 - Phone
- (443) 743-6727
- NPI assigned
- Sep 7, 2021
- Last updated
- Sep 7, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R192881 | MD | Primary |
Addresses
Primary practice location
141 Gentlebrook Rd
Owings Mills, MD 21117-2451
Mailing address
141 Gentlebrook Rd
Owings Mills, MD 21117-2451
Phone (443) 743-6727
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
| License | State | Type | Specialty |
|---|---|---|---|
| R192881 | MD | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Planned Parenthood of Maryland, Inc. | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Ambulatory Family Planning Facility
- Baltimore, MD
- NPI 1235242082
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630972800000",
"number": "1063181717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "141 GENTLEBROOK RD",
"city": "OWINGS MILLS",
"state": "MD",
"postal_code": "211172451",
"telephone_number": "443-743-6727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "141 GENTLEBROOK RD",
"city": "OWINGS MILLS",
"state": "MD",
"postal_code": "211172451",
"telephone_number": "443-743-6727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAMBUI",
"first_name": "JOAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-07",
"last_updated": "2021-09-07",
"certification_date": "2021-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "R192881",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Owings Mills, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.