Pryme Community Clinic Incorporated

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

PRYME COMMUNITY CLINIC INCORPORATED

Practice address

6201 Greenbelt Rd Ste M8A
Berwyn Heights, MD 20740-2358

Phone

(240) 413-0052

Fax

(301) 358-2940

NPI assigned

Jul 5, 2021

Organization subpart

No

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

Authorized official

Name

Linda R Williams, MSN, CRNP FAMILYNPI 1306226808

Title

Owner of Entity

Phone

(240) 413-0052

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/25758/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Linda Ronma Williams

  • Family Nurse Practitioner
  • Berwyn Heights, MD
  • NPI 1306226808

  DC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1625443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649289600000",
    "number": "1194396846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 GREENBELT RD STE M8A",
            "city": "BERWYN HEIGHTS",
            "state": "MD",
            "postal_code": "207402358",
            "telephone_number": "240-413-0052",
            "fax_number": "301-358-2940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 GREENBELT RD STE M8A",
            "city": "BERWYN HEIGHTS",
            "state": "MD",
            "postal_code": "207402358",
            "telephone_number": "240-413-0052",
            "fax_number": "301-358-2940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRYME COMMUNITY CLINIC INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-05",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-07",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER OF ENTITY",
        "authorized_official_telephone_number": "240-413-0052",
        "authorized_official_credential": "MSN, CRNP FAMILY"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Preferred Health Care Services Incorporated
• Probity Healthcare Services & Clinic, LLC
• Pryme Community Clinic Incorporated
• Koudiratou Radji, NP
• Rasaq Abu, M.D., P.C.
• Erica Reed, MSW
• Norma Meliza Rosa

• Family Nurse Practitioner in Berwyn Heights, MD
• Providers in Berwyn Heights, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.