Individual provider Active NPI

Erlande Pierresaint

  • Primary Care Nurse Practitioner
  • Laurel, MD
National Provider Identifier
1144796236
Registry record updated Nov 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
F10181059 Issued in MD
Practice address
8315 Cherry LN
Laurel, MD 20707-4830
Phone
(301) 604-7000
Fax
(301) 604-7005
NPI assigned
Oct 16, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 23, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Care Registered Nurse 163WP2201X F10181059 MD
Primary Care Nurse Practitioner 363LP2300X F10181059 MD Primary

Addresses

Primary practice location

8315 Cherry LN
Laurel, MD 20707-4830

Mailing address

8315 Cherry LN
Laurel, MD 20707-4830
Phone (301) 604-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20260512000665 DC Practitioner - Nurse Practitioner 3375019367 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

8201 Corporate Dr
Suite 630
Hyattsville, MD 20785-2258

8778 Bancroft Dr
Waldorf, MD 20603-4034

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F10181059MDMDAmbulatory Care Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Peck Healthcare, LLC Primary Care CurrentSince Mar 5, 2023 Accepting new patients
Komal a Malik, MD, PC CurrentSince Dec 1, 2019 Accepting new patients

Locations

11720 Beltsville Dr
Ste 500
Beltsville, MD 20705
Phone (202) 790-8903

8315 Cherry Ln
Laurel, MD 20707
Phone (301) 604-7000

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1539648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574467200000",
    "number": "1144796236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8315 CHERRY LN",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207074830",
            "telephone_number": "301-604-7000",
            "fax_number": "301-604-7005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8315 CHERRY LN",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207074830",
            "telephone_number": "301-604-7000",
            "fax_number": "301-604-7005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERRESAINT",
        "first_name": "ERLANDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-16",
        "last_updated": "2019-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "MD",
            "license": "F10181059",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MD",
            "license": "F10181059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

Verify at the official NPI Registry.