Individual provider Active NPI

Laura Nwokeafor

  • Family Nurse Practitioner
  • Lanham, MD
National Provider Identifier
1184278947
Registry record updated Mar 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R196859 Issued in MD
Practice address
4500 Forbes Blvd Ste 450-L40
Lanham, MD 20706-6312
Phone
(240) 554-5923
Fax
(240) 427-9993
NPI assigned
Jul 30, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X R196859 MD Primary

Addresses

Primary practice location

4500 Forbes Blvd Ste 450-L40
Lanham, MD 20706-6312

Mailing address

4500 Forbes Blvd Ste 450-L40
Lanham, MD 20706-6312
Phone (240) 554-5923

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240917004447 DC Practitioner - Nurse Practitioner 2860826047 Reassigns benefits to 1 organization
I20240917004706 MD Practitioner - Nurse Practitioner 2860826047 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R196859MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Wound Care Maryland LLC Single Specialty CurrentSince Aug 6, 2024 Accepting new patients
LCN Services LLC Family CurrentSince Mar 31, 2024 Accepting new patients

Locations

7520 Surratts Rd
Clinton, MD 20735
Phone (301) 856-1600

4500 Forbes Blvd
Ste 400
Lanham, MD 20706
Phone (240) 257-6363

4500 Forbes Blvd
Ste 450L40
Lanham, MD 20706
Phone (301) 523-4932

85 Hospital Rd
Prnc Frederck, MD 20678
Phone (410) 535-2300

492C Cedar Ln
Teaneck, NJ 07666
Phone (201) 357-5468

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1564444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711670400000",
    "number": "1184278947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 FORBES BLVD STE 450-L40",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207066312",
            "telephone_number": "240-554-5923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 FORBES BLVD STE 450-L40",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207066312",
            "telephone_number": "240-554-5923",
            "fax_number": "240-427-9993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWOKEAFOR",
        "first_name": "LAURA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-30",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R196859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lanham, MD

Sources for this page

Verify at the official NPI Registry.