Active NPI
Edith Emelife, NURSE PRACTITIONER
- Family Nurse Practitioner
- Springdale, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R200399
- Practice address
- 9513 Stoney Ridge Rd
Springdale, MD 20774-5441 - Phone
- (240) 381-5413
- NPI assigned
- Jul 31, 2019
- Last updated
- Jul 31, 2019
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R200399 | MD | Primary |
Addresses
Primary practice location
9513 Stoney Ridge Rd
Springdale, MD 20774-5441
Mailing address
9513 Stoney Ridge Rd
Springdale, MD 20774-5441
Phone (240) 381-5413
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Five Star Physician Services, LLC | Current | Accepting new patients | |
| CTG LLC | Current | Accepting new patients | |
| Beacon Health & Wellness Services LLC | Family | Current | Accepting new patients |
Locations
8700 Jones Mill Rd
Chevy Chase, MD 20815
Phone (301) 350-5555
785 Elkridge Landing Rd
Ste 300
Linthicum Heights, MD 21090
Phone (443) 323-3014
11810 Grand Park Ave
Ste 500
Rockville, MD 20852
Phone (301) 276-5468
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Linthicum Heights, MD
- NPI 1083654479
DC
-
- Family Nurse Practitioner
- Lanham, MD
- NPI 1538852421
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564531200000",
"number": "1295389930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9513 STONEY RIDGE RD",
"city": "SPRINGDALE",
"state": "MD",
"postal_code": "207745441",
"telephone_number": "240-381-5413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9513 STONEY RIDGE RD",
"city": "SPRINGDALE",
"state": "MD",
"postal_code": "207745441",
"telephone_number": "240-381-5413"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EMELIFE",
"first_name": "EDITH",
"credential": "NURSE PRACTITIONER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-07-31",
"last_updated": "2019-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "R200399",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springdale, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.