Active NPI
Boma Alamina, FNP-BC
- Primary Care Nurse Practitioner
- Laurel, MD
National Provider Identifier
1265809438
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- R184429
- Practice address
- 9811 Mallard Dr Ste 114
Laurel, MD 20708-3180 - Phone
- (301) 477-2684
- NPI assigned
- Aug 24, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | R184429 | MD | Primary |
Addresses
Primary practice location
9811 Mallard Dr Ste 114
Laurel, MD 20708-3180
Mailing address
2429 Knapps Way
Odenton, MD 21113-3227
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518134400000",
"number": "1265809438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2429 KNAPPS WAY",
"city": "ODENTON",
"state": "MD",
"postal_code": "211133227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9811 MALLARD DR STE 114",
"city": "LAUREL",
"state": "MD",
"postal_code": "207083180",
"telephone_number": "301-477-2684"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALAMINA",
"first_name": "BOMA",
"credential": "FNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-08-24",
"last_updated": "2018-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "MD",
"license": "R184429",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laurel, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.