Organization Active NPI

Mynp Professional Corporation

  • Primary Care Clinic/Center
  • Bladensburg, MD
National Provider Identifier
1295289916
Registry record updated Aug 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
AC001787 Issued in MD
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

Updated by the provider on Aug 10, 2016

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.