Concept for Women & Children Wellness Clinic

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

CONCEPT FOR WOMEN & CHILDREN WELLNESS CLINIC

Practice address

9831 Greenbelt Rd Ste 103
Lanham, MD 20706-6224

Phone

(202) 601-0801

NPI assigned

Dec 4, 2019

Organization subpart

No

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

Authorized official

Name

Mrs. Lovelyn Bialose, FNPNPI 1467851899

Title

Provider

Phone

(202) 817-0027

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lovelyn I Bialose, FNP

  • Family Nurse Practitioner
  • Lanham, MD
  • NPI 1467851899

  DC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1575417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680480000000",
    "number": "1124665682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 LAKE SHORE DR",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207212909",
            "telephone_number": "202-817-0027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9831 GREENBELT RD STE 103",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207066224",
            "telephone_number": "202-601-0801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCEPT FOR WOMEN & CHILDREN WELLNESS CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-04",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A",
        "authorized_official_last_name": "BIALOSE",
        "authorized_official_first_name": "LOVELYN",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "202-817-0027",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Connections
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• Clinic/Center in Lanham, MD
• Providers in Lanham, MD by specialty
• Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2023; 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.

Verify at the official NPI Registry.