NPIMap

Organization Active NPI

Proshade LLC

Doing business as Proshade Healthcare

  • Family Medicine Physician
  • Laurel, MD
National Provider Identifier
1184386294
Registry record updated Oct 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PROSHADE LLC
Doing business as
Proshade Healthcare
Practice address
9620 Norfolk Ave
Laurel, MD 20723-1881
Phone
(240) 713-7774
NPI assigned
Oct 6, 2021
Last updated
Oct 6, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2021

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

Authorized official

Name
Ms. Folashade Akinbinu, FNPNPI 1184270449
Title
Ceo
Phone
(240) 381-7123

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

9620 Norfolk Ave
Laurel, MD 20723-1881

Mailing address

9620 Norfolk Ave
Laurel, MD 20723-1881
Phone (240) 381-7123

Other names 1

  • Proshade Healthcare Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1633478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633478400000",
    "number": "1184386294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9620 NORFOLK AVE",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207231881",
            "telephone_number": "240-381-7123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9620 NORFOLK AVE",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207231881",
            "telephone_number": "240-713-7774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSHADE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-06",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-06",
        "status": "A",
        "authorized_official_last_name": "AKINBINU",
        "authorized_official_first_name": "FOLASHADE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "240-381-7123",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Proshade Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Laurel, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2021; 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.