NPIMap

Organization Active NPI

His Faithfulness Family Clinic Inc

  • Family Nurse Practitioner
  • Oxon Hill, MD
National Provider Identifier
1164030102
Registry record updated Jun 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
HIS FAITHFULNESS FAMILY CLINIC INC
Practice address
6188 Oxon Hill Rd Ste 301
Oxon Hill, MD 20745-3157
Phone
(301) 485-8151
Fax
(301) 485-8191
NPI assigned
Jul 15, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2022

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

Authorized official

Name
Mrs. Olivia Mbah, NP
Title
Administrator
Phone
(301) 257-2314

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

6188 Oxon Hill Rd Ste 301
Oxon Hill, MD 20745-3157

Mailing address

6188 Oxon Hill Rd Ste 301
Oxon Hill, MD 20745-3157
Phone (301) 485-8151

Other names 1

  • HIS FAITHFULNESS FAMILY CLINIC INC Doing business as

National Provider Directory

National Provider Directory

Locations

6188 Oxon Hill Rd
Ste 301
Oxon Hill, MD 20745
Phone (301) 257-2314

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25488/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1594771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656460800000",
    "number": "1164030102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6188 OXON HILL RD STE 301",
            "city": "OXON HILL",
            "state": "MD",
            "postal_code": "207453157",
            "telephone_number": "301-485-8151",
            "fax_number": "301-485-8191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6188 OXON HILL RD STE 301",
            "city": "OXON HILL",
            "state": "MD",
            "postal_code": "207453157",
            "telephone_number": "301-485-8151",
            "fax_number": "301-485-8191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIS FAITHFULNESS FAMILY CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-15",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A",
        "authorized_official_last_name": "MBAH",
        "authorized_official_first_name": "OLIVIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "301-257-2314",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HIS FAITHFULNESS FAMILY CLINIC INC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HIS FAITHFULNESS FAMILY CLINIC INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oxon Hill, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; 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.