Naomi Rebekah Azevedo-Flores

Primary specialty

Student Health Clinic/CenterTaxonomy code 261QS1000X

Practice address

18109 Prince Philip Dr Ste 155
Olney, MD 20832-1591

Phone

(301) 260-3280

NPI assigned

Aug 29, 2024

Last updated

Aug 29, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1724889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1144054214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 EDNOR RD",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209055101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18109 PRINCE PHILIP DR STE 155",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208321591",
            "telephone_number": "301-260-3280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZEVEDO-FLORES",
        "first_name": "NAOMI",
        "middle_name": "REBEKAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-29",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Student Health Clinic/Center in Olney, MD
• Providers in Olney, MD by specialty
• Student Health Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; 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.