NPIMap

Organization Active NPI

Nurse Practitioner Support

  • Clinic/Center
  • La Plata, MD
National Provider Identifier
1255943502
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
NURSE PRACTITIONER SUPPORT
Practice address
1 Saint Marys Ave # 101
La Plata, MD 20646-4037
Phone
(240) 257-5436
NPI assigned
Aug 18, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Authorized official

Name
Dr. Laura Behm, DNP, FNP-CNPI 1275903916
Title
Co-Owner, Nurse Practitioner
Phone
(240) 257-5436

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X
Psychiatric/Mental Health Nurse Practitioner 363LP0808X

Addresses

Primary practice location

1 Saint Marys Ave # 101
La Plata, MD 20646-4037

Mailing address

1 Saint Marys Ave Ste 101
La Plata, MD 20646-4037
Phone (240) 257-5436

Other identifiers 1

IdentifierTypeStateIssuer
799731100MedicaidMD

Other names 1

  • Nurse Practitioner Services Doing business as

National Provider Directory

National Provider Directory

Locations

430 Boston St
Ste 102
Topsfield, MA 01983

1 Saint Marys Ave
La Plata, MD 20646
Phone (240) 257-5436

1 Saint Marys Ave
#101
La Plata, MD 20646
Phone (240) 257-5436

1401 Mercantile Ln
Ste 200AA
Largo, MD 20774
Phone (240) 300-0003

65 Duke St
#203
Prince Frederick, MD 20678
Phone (240) 237-8716

65 Duke St
#102
Prince Frederick, MD 20678

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1597708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722816000000",
    "number": "1255943502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SAINT MARYS AVE STE 101",
            "city": "LA PLATA",
            "state": "MD",
            "postal_code": "206464037",
            "telephone_number": "240-257-5436",
            "fax_number": "301-327-5432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SAINT MARYS AVE # 101",
            "city": "LA PLATA",
            "state": "MD",
            "postal_code": "206464037",
            "telephone_number": "240-257-5436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NURSE PRACTITIONER SUPPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-18",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A",
        "authorized_official_last_name": "BEHM",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "CO-OWNER, NURSE PRACTITIONER",
        "authorized_official_telephone_number": "240-257-5436",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, FNP-C"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "799731100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nurse Practitioner Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Nurse Practitioner Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in La Plata, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; 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.