Active NPI
Victoria Fatmata Koroma
- Family Nurse Practitioner
- Silver Spring, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R204038
- 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, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 204038 | MD | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Consonant Healing Medical Associates | Current | 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
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.