NP Consultant, LLC
Organization Active NPI Family Nurse Practitioner · Marriottsville, MD
NPI 1164071759 · NPPES record last updated Sep 6, 2019
Key facts
- NPI
- 1164071759
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- Legal business name
- NP CONSULTANT, LLC
- Practice address
- 7341 Argonne Dr
Marriottsville, MD 21104-1074 - Phone
- (410) 552-8885
- NPI assigned
- Sep 6, 2019
- Organization subpart
- No
Authorized official
- Name
- Tavershima Asom, NURSE PRACTITIONER
- Title
- Nurse Practitioner
- Phone
- (410) 552-8885
Practitioners 3
-
Shemicka Asom, CRNP
-
Tavershima Asom, MSN, RN, NP-C
-
Emily Floode, NURSE PRACTITIONER
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MD, DC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20191003000424 | MD | Part B Supplier - Clinic/Group Practice | 7911237094 |
Receives reassigned benefits from 2 practitioners Practice locations: Marriottsville, MD |
| O20240912000500 | DC | Part B Supplier - Clinic/Group Practice | 7911237094 |
Receives reassigned benefits from 2 practitioners Practice locations: Silver Spring, MD |
National Provider Directory
Locations
604 Moores Mill Rd
Bel Air, MD 21014
34 Loveton Cir
Ste 210
Sparks Glencoe, MD 21152
Phone (301) 302-5581
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner |
363LF0000X | Yes |
Addresses
Primary practice location
7341 Argonne Dr
Marriottsville, MD 21104-1074
Mailing address
7341 Argonne Dr
Marriottsville, MD 21104-1074
Phone (410) 552-8885
Other providers in Marriottsville, MD
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- Hakim Ogunsanya
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All providers in Marriottsville, MD · Family Nurse Practitioner in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 6, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.