Organization Active NPI

Healthy Choice Family Clinic

  • Family Medicine Physician
  • Bowie, MD
National Provider Identifier
1174953905
Registry record updated Nov 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R184425 Issued in MD
Legal business name
HEALTHY CHOICE FAMILY CLINIC
Practice address
15202 Emily CT
Bowie, MD 20716-3200
Phone
(240) 438-7923
NPI assigned
Nov 14, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2013

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

Authorized official

Name
Mrs. Victoria Titus, NURSE PRACTITIONER
Title
President /Owner
Phone
(240) 438-7923

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X R184425 MD Primary

Addresses

Primary practice location

15202 Emily CT
Bowie, MD 20716-3200

Mailing address

15202 Emily CT
Bowie, MD 20716-3200
Phone (240) 438-7923

Other identifiers 1

IdentifierTypeStateIssuer
R184425OtherMDSTATE LICENSE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1384387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384387200000",
    "number": "1174953905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15202 EMILY CT",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207163200",
            "telephone_number": "240-438-7923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15202 EMILY CT",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207163200",
            "telephone_number": "240-438-7923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY CHOICE FAMILY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-14",
        "last_updated": "2013-11-14",
        "status": "A",
        "authorized_official_last_name": "TITUS",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "PRESIDENT /OWNER",
        "authorized_official_telephone_number": "240-438-7923",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "R184425",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "R184425",
            "state": "MD"
        }
    ],
    "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 Nov 14, 2013; 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.