NPIMap

Organization Active NPI

A-Fragile Heart and Associates,LLC

  • Preferred Provider Organization
  • Bowie, MD
National Provider Identifier
1174772750
Registry record updated Sep 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
Legal business name
A-FRAGILE HEART AND ASSOCIATES,LLC
Practice address
15309 Johnstone LN
Bowie, MD 20721-7275
Phone
(301) 218-8836
Fax
(301) 218-8836
NPI assigned
Sep 18, 2008
Last updated
Sep 23, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2008

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

Authorized official

Name
Sharon Lawanda Waters
Title
Owner
Phone
(202) 431-8455

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X Primary

Addresses

Primary practice location

15309 Johnstone LN
Bowie, MD 20721-7275

Mailing address

15309 Johnstone LN
Bowie, MD 20721-7275
Phone (301) 218-8836

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1221696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222128000000",
    "number": "1174772750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15309 JOHNSTONE LN",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207217275",
            "telephone_number": "301-218-8836",
            "fax_number": "301-218-8836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15309 JOHNSTONE LN",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207217275",
            "telephone_number": "301-218-8836",
            "fax_number": "301-218-8836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A-FRAGILE HEART AND ASSOCIATES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-18",
        "last_updated": "2008-09-23",
        "status": "A",
        "authorized_official_last_name": "WATERS",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "LAWANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-431-8455"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2008; 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.