Active NPI
Bediccaa Medical Services
- Family Nurse Practitioner
- Lanham, MD
National Provider Identifier
1235828526
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- BEDICCAA MEDICAL SERVICES
- Practice address
- 4850 Forbes Blvd Ste D
Lanham, MD 20706-4882 - Phone
- (301) 459-5667
- Fax
- (301) 459-7059
- NPI assigned
- May 3, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Edith N Arah, FNP
- Title
- President
- Phone
- (240) 481-8126
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
4850 Forbes Blvd Ste D
Lanham, MD 20706-4882
Mailing address
4850 Forbes Blvd Ste D
Lanham, MD 20706-4882
Phone (301) 459-5667
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
4850 Forbes Blvd
Ste D
Lanham, MD 20706
Phone (301) 459-5667
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Lanham, MD
- NPI 1689683856
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683072000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1683072000000",
"number": "1235828526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4850 FORBES BLVD STE D",
"city": "LANHAM",
"state": "MD",
"postal_code": "207064882",
"telephone_number": "301-459-5667",
"fax_number": "301-459-7059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4850 FORBES BLVD STE D",
"city": "LANHAM",
"state": "MD",
"postal_code": "207064882",
"telephone_number": "301-459-5667",
"fax_number": "301-459-7059"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEDICCAA MEDICAL SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-03",
"last_updated": "2023-05-03",
"certification_date": "2023-05-03",
"status": "A",
"authorized_official_last_name": "ARAH",
"authorized_official_first_name": "EDITH",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "240-481-8126",
"authorized_official_credential": "FNP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lanham, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; 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.