NPIMap

Organization Active NPI

Springforth Health and Wellness Center LLC

  • Family Nurse Practitioner
  • Upper Marlboro, MD
National Provider Identifier
1154911196
Registry record updated Feb 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
SPRINGFORTH HEALTH AND WELLNESS CENTER LLC
Practice address
11400 Treton CT
Upper Marlboro, MD 20774-1568
Phone
(301) 633-2515
NPI assigned
Jan 23, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2021

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

Authorized official

Name
Dr. Uche H Fabiku, DNP
Title
Nurse Practitioner/Ceo
Phone
(301) 633-2515

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

11400 Treton CT
Upper Marlboro, MD 20774-1568

Mailing address

11400 Treton CT
Upper Marlboro, MD 20774-1568
Phone (301) 633-2515

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1611360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612137600000",
    "number": "1154911196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11400 TRETON CT",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207741568",
            "telephone_number": "301-633-2515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11400 TRETON CT",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207741568",
            "telephone_number": "301-633-2515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGFORTH HEALTH AND WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-23",
        "last_updated": "2021-02-01",
        "certification_date": "2021-02-01",
        "status": "A",
        "authorized_official_last_name": "FABIKU",
        "authorized_official_first_name": "UCHE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "NURSE PRACTITIONER/CEO",
        "authorized_official_telephone_number": "301-633-2515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Marlboro, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2021; 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.