Individual provider Active NPI

Victoria Fatmata Koroma

  • Family Nurse Practitioner
  • Silver Spring, MD
National Provider Identifier
1245701333
Registry record updated Jan 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R204038 Issued in MD
Practice address
8403 Colesville Rd Ste 1100
Silver Spring, MD 20910-6346
Phone
(443) 383-9300
Fax
(855) 866-8710
NPI assigned
Dec 16, 2018
Last updated
Jan 4, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 204038 MD
Family Nurse Practitioner 363LF0000X R204038 MD Primary
General Practice Registered Nurse 163WG0000X R204038 MD

Addresses

Primary practice location

8403 Colesville Rd Ste 1100
Silver Spring, MD 20910-6346

Mailing address

909 Ridgebrook Rd Ste 300
Sparks, MD 21152-9477
Phone (443) 383-9300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 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
I20190417001763 MD Practitioner - Nurse Practitioner 0345581450 Reassigns benefits to 1 organization
I20190417002347 DC Practitioner - Nurse Practitioner 0345581450 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
204038MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Consonant Healing Medical Associates CurrentSince Jan 9, 2023 Accepting new patients

Locations

3330 Wilkens Ave
Baltimore, MD 21229
Phone (410) 525-1544

919 Seton Dr
Cumberland, MD 21502
Phone (301) 777-0622

12325 New Hampshire Ave
Silver Spring, MD 20904
Phone (301) 622-4600

3227 Bel Pre Rd
Silver Spring, MD 20906
Phone (301) 871-2000

8403 Colesville Rd
Ste 1100
Silver Spring, MD 20910
Phone (301) 905-7762

909 Ridgebrook Rd
Ste 300
Sparks Glencoe, MD 21152
Phone (443) 483-9300

7525 Carroll Ave
Takoma Park, MD 20912
Phone (301) 270-4200

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672790400000",
    "number": "1245701333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 RIDGEBROOK RD STE 300",
            "city": "SPARKS",
            "state": "MD",
            "postal_code": "211529477",
            "telephone_number": "443-383-9300",
            "fax_number": "855-866-8710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8403 COLESVILLE RD STE 1100",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209106346",
            "telephone_number": "443-383-9300",
            "fax_number": "855-866-8710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOROMA",
        "first_name": "VICTORIA",
        "middle_name": "FATMATA",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-16",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "204038",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R204038",
            "primary": true
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "MD",
            "license": "R204038",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

Verify at the official NPI Registry.