Active NPI
J Healthcare Services and Consultation
- Family Nurse Practitioner
- Bowie, MD
National Provider Identifier
1104255744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN1011679
- Legal business name
- J HEALTHCARE SERVICES AND CONSULTATION
- Practice address
- 4234 Lavender LN
Bowie, MD 20720-4291 - Phone
- (301) 717-2972
- NPI assigned
- Nov 4, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Joseph E Kisanga, NP
- Title
- Chairman
- Phone
- (301) 717-2972
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN1011679 | DC | Primary |
Addresses
Primary practice location
4234 Lavender LN
Bowie, MD 20720-4291
Mailing address
4234 Lavender LN
Bowie, MD 20720-4291
Phone (301) 717-2972
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104255744 | Other | MD | NPI FOR J HEALTHCARE SERVICES AND CONSULTATION |
Other names 1
- Wound team of greater Washington
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & 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": "1383523200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1387152000000",
"number": "1104255744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4234 LAVENDER LN",
"city": "BOWIE",
"state": "MD",
"postal_code": "207204291",
"telephone_number": "301-717-2972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4234 LAVENDER LN",
"city": "BOWIE",
"state": "MD",
"postal_code": "207204291",
"telephone_number": "301-717-2972"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "J HEALTHCARE SERVICES AND CONSULTATION",
"organizational_subpart": "NO",
"enumeration_date": "2013-11-04",
"last_updated": "2013-12-16",
"status": "A",
"authorized_official_last_name": "KISANGA",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "CHAIRMAN",
"authorized_official_telephone_number": "301-717-2972",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "DC",
"license": "RN1011679",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI FOR J HEALTHCARE SERVICES AND CONSULTATION",
"identifier": "1104255744",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Wound team of greater Washington",
"code": "5",
"type": "Other Name"
}
]
}
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 Dec 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.