Alexandra Mountford

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

AC004175 Issued in MD

Practice address

3500 Old Washington Rd Ste 101
Waldorf, MD 20602-3205

Phone

(301) 885-5020

Fax

(240) 419-5217

NPI assigned

Mar 21, 2022

Last updated

Apr 29, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DCHBBA/Endpoint/DCHBBA

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.

• Cambridge Pediatrics, LLC

  • Pediatrics Physician
  • Waldorf, MD
  • NPI 1154462943
  NPD (past)

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

{
    "created_epoch": "1647820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651190400000",
    "number": "1114676822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 OLD WASHINGTON RD STE 101",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206023205",
            "telephone_number": "301-885-5020",
            "fax_number": "240-419-5217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 OLD WASHINGTON RD STE 101",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206023205",
            "telephone_number": "301-885-5020",
            "fax_number": "240-419-5217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUNTFORD",
        "first_name": "ALEXANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-21",
        "last_updated": "2022-04-29",
        "certification_date": "2022-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MD",
            "license": "AC004175",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "AC004176",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "CRISPHEALTH.ORG",
            "affiliation": "N",
            "endpointDescription": "STATE  HIE",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CRISP",
            "address_1": "3500 Old Washington Rd Ste 101",
            "city": "Waldorf",
            "state": "MD",
            "country_code": "US",
            "postal_code": "206023205",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Destiny Louanniah Morrison, DO
• Mia Mosby
• Nakiya Moss
• Mostafa PC (Advanced Rehabilitation and Therapy)
• Shahab Motamedi, O.D.
• Mary Chinedu Mpi
• Kevin Mrohs, RPH
• Ms-HC, LLC (Waldorf-MED LLC)
• Ms. & Mr. Little Ones, Inc.
• MSB Counseling Services, Inc (Monique Brown)

• Pediatric Nurse Practitioner in Waldorf, MD
• Providers in Waldorf, MD by specialty
• Pediatric Nurse Practitioner in Maryland

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