Individual provider Active NPI

Alta Wolde

  • Family Nurse Practitioner
  • Germantown, MD
National Provider Identifier
1295308245
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R194447 Issued in MD
Practice address
12850 Middlebrook Rd
Germantown, MD 20874-5255
Phone
(301) 972-9433
NPI assigned
Jul 19, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

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 R194447 MD Primary

Addresses

Primary practice location

12850 Middlebrook Rd
Germantown, MD 20874-5255

Mailing address

2500 Legacy Dr Ste 200
Frisco, TX 75034-1844

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20210827002436 DC Practitioner - Nurse Practitioner 3274938378 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Asthma and Allergy Center LLCGroup PAC ID 7719909639, 35 clinicians

Practice addresses (Care Compare)

14995 Shady Grove Rd
Suite 100
Rockville, MD 20850-8733
Phone (301) 869-7820

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R194447MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Asthma & Allergy Center LLC Allergy & Immunology CurrentSince Aug 1, 2021 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

4201 Northview Dr
Ste 210
Bowie, MD 20716
Phone (301) 833-0001

12850 Middlebrook Rd
Ste 103
Germantown, MD 20874
Phone (301) 972-9433

7501 Greenway Center Dr
Ste 440
Greenbelt, MD 20770
Phone (301) 220-1333

6000 Executive Blvd
Ste 615
Rockville, MD 20852
Phone (240) 747-5750

14995 Shady Grove Rd
Ste 100
Rockville, MD 20850
Phone (301) 869-7820

2101 Medical Park Dr
Ste 305
Silver Spring, MD 20902
Phone (301) 754-0833

10301 Georgia Ave
Ste 306
Silver Spring, MD 20902
Phone (301) 681-6055

2500 Legacy Dr
Ste 200
Frisco, TX 75034

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10561/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1626652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1295308245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 LEGACY DR STE 200",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750341844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12850 MIDDLEBROOK RD",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208745255",
            "telephone_number": "301-972-9433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLDE",
        "first_name": "ALTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-19",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R194447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, MD

Sources for this page

Verify at the official NPI Registry.