Individual provider Active NPI

Fatmata K Ware

  • Family Nurse Practitioner
  • Washington, DC
National Provider Identifier
1285121954
Registry record updated Dec 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN1006839 Issued in DC
Practice address
1160 Varnum St NE
Washington, DC 20017-2107
Phone
(202) 854-7000
NPI assigned
Apr 18, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN1006839 DC Primary

Addresses

Primary practice location

1160 Varnum St NE
Washington, DC 20017-2107

Mailing address

1160 Varnum St NE
Washington, DC 20017-2107

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL Washington Direct
Other URL DC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 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
I20190416000154 DC Practitioner - Nurse Practitioner 2769723071 Reassigns benefits to 2 organizations
I20190416000179 MD Practitioner - Nurse Practitioner 2769723071 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Providence Health Services IncGroup PAC ID 4385541622, 17 clinicians

Practice addresses (Care Compare)

1140 Varnum St NE
100 PHS Behavioral Health
Washington, DC 20017-2100
Phone (202) 854-7623

1150 Varnum St NE
Washington, DC 20017-2104

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Urgent Care LLC CurrentSince Oct 21, 2020 Accepting new patients
Providence Health Services Inc CurrentSince Apr 20, 2020 Accepting new patients
Medstar Urgent Care LLC CurrentSince Oct 21, 2020 Accepting new patients
Providence Health Services, Inc CurrentSince Apr 20, 2020 Accepting new patients
Medstar Urgent Care LLC CurrentSince Oct 30, 2020 Accepting new patients
Medstar Urgent Care, LLC Current Accepting new patients

Locations

1160 Varnum St NE
Ste 110
Washington, DC 20017
Phone (202) 854-4080

228 7th St SE
Washington, DC 20003
Phone (202) 696-0795

1160 Varnum St NE
Washington, DC 20017
Phone (202) 525-1448

1140 Varnum St NE
Ste 100
Washington, DC 20017
Phone (202) 854-7623

1150 Varnum St NE
Washington, DC 20017
Phone (202) 269-7000

2114 Generals Hwy
Annapolis, MD 21401
Phone (410) 224-6483

6317 York Rd
Baltimore, MD 21212
Phone (443) 777-6890

7698 Dorchester Blvd
Ste 204
Hanover, MD 21076

12220 Rockville Pike
Rockville, MD 20852
Phone (301) 468-6483

3064 Waldorf Market Pl
Waldorf, MD 20603
Phone (301) 932-5960

3350 Crain Hwy
Waldorf, MD 20603
Phone (443) 332-4260

11915 Georgia Ave
Wheaton, MD 20902
Phone (301) 942-4505

Interoperability endpoints

  • Direct secure messaging: fatmata.ware.1@30093.direct.athenahealth.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1524009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607990400000",
    "number": "1285121954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 VARNUM ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200172107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 VARNUM ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200172107",
            "telephone_number": "202-854-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARE",
        "first_name": "FATMATA",
        "middle_name": "K",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-18",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DC",
            "license": "RN1006839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Washington",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "111 Michigan Ave NW",
            "city": "Washington",
            "state": "DC",
            "country_code": "US",
            "postal_code": "200102916",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "DC",
            "affiliation": "N",
            "address_1": "1160 Varnum St NE",
            "city": "Washington",
            "state": "DC",
            "country_code": "US",
            "postal_code": "200172107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.