Active NPI
Mynp Professional Corporation
- Primary Care Clinic/Center
- Bladensburg, MD
National Provider Identifier
1295289916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- AC001787
- Legal business name
- MYNP PROFESSIONAL CORPORATION
- Practice address
- 5802 Annapolis Rd
Bladensburg, MD 20710-2075 - Phone
- (804) 937-3219
- NPI assigned
- Aug 10, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marie Umar-Kamara, DNP
- Title
- Family Nurse Practitioner
- Phone
- (804) 937-3219
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | AC001787 | MD | Primary |
Addresses
Primary practice location
5802 Annapolis Rd
Bladensburg, MD 20710-2075
Mailing address
1817 Bellamy PL
Glen Allen, VA 23059-8002
Phone (804) 937-3219
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470787200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1470787200000",
"number": "1295289916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1817 BELLAMY PL",
"city": "GLEN ALLEN",
"state": "VA",
"postal_code": "230598002",
"telephone_number": "804-937-3219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5802 ANNAPOLIS RD",
"city": "BLADENSBURG",
"state": "MD",
"postal_code": "207102075",
"telephone_number": "804-937-3219"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MYNP PROFESSIONAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2016-08-10",
"last_updated": "2016-08-10",
"status": "A",
"authorized_official_last_name": "UMAR-KAMARA",
"authorized_official_first_name": "MARIE",
"authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
"authorized_official_telephone_number": "804-937-3219",
"authorized_official_credential": "DNP"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "MD",
"license": "AC001787",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bladensburg, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.