Individual provider Active NPI

Darcella Bland, MSN, FNP-BC, NP-C

  • Family Nurse Practitioner
  • Fairfax, VA
National Provider Identifier
1144691338
Registry record updated Oct 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R189478 Issued in MD
Practice address
3930 Pender Dr Ste 230
Fairfax, VA 22030-0992
Phone
(703) 620-6221
NPI assigned
Oct 13, 2015
Last updated
Oct 13, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R189478 MD Primary

Addresses

Primary practice location

3930 Pender Dr Ste 230
Fairfax, VA 22030-0992

Mailing address

3039 Brinkley Station Dr
Temple Hills, MD 20748-6176
Phone (301) 894-1966

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160211001806 DC Practitioner - Nurse Practitioner 1052615028 Reassigns benefits to 1 organization
I20160511000156 MD Practitioner - Nurse Practitioner 1052615028 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R189478MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Medical Group - Southern Maryland LLC CurrentSince Jan 11, 2016 Accepting new patients
Medstar Medical Group - Southern Maryland LLC Current Accepting new patients
Medstar Medical Group - Southern Maryland LLC CurrentSince Jan 11, 2016 Accepting new patients
Shah Associates MD LLC Past Accepting new patients

Locations

950 E Swan Creek Rd
Ft Washington, MD 20744
Phone (301) 292-0236

24035 Three Notch Rd
Hollywood, MD 20636
Phone (301) 373-2588

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1444694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444694400000",
    "number": "1144691338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3039 BRINKLEY STATION DR",
            "city": "TEMPLE HILLS",
            "state": "MD",
            "postal_code": "207486176",
            "telephone_number": "301-894-1966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3930 PENDER DR STE 230",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220300992",
            "telephone_number": "703-620-6221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAND",
        "first_name": "DARCELLA",
        "name_prefix": "Ms.",
        "credential": "MSN, FNP-BC, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-13",
        "last_updated": "2015-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R189478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.