Active NPI
Healthy Health Assessment Clinic LLC
- Family Nurse Practitioner
- Brandywine, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- HEALTHY HEALTH ASSESSMENT CLINIC LLC
- Practice address
- 15812 Crain Hwy Unit B #182
Brandywine, MD 20613-8077 - Phone
- (202) 251-8334
- NPI assigned
- Feb 1, 2024
- Last updated
- Feb 1, 2024
- 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
- Justina Okougbo
- Title
- Owner
- Phone
- (202) 251-8334
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
15812 Crain Hwy Unit B #182
Brandywine, MD 20613-8077
Mailing address
15812 Crain Hwy Unit B #182
Brandywine, MD 20613-8077
Phone (202) 251-8334
National Provider Directory
National Provider DirectoryLocations
15812 Crain Hwy
Unit B
Brandywine, MD 20613
Phone (202) 251-8334
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Washington, DC
- NPI 1851910293
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706745600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1706745600000",
"number": "1306609318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15812 CRAIN HWY UNIT B #182",
"city": "BRANDYWINE",
"state": "MD",
"postal_code": "206138077",
"telephone_number": "202-251-8334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15812 CRAIN HWY UNIT B #182",
"city": "BRANDYWINE",
"state": "MD",
"postal_code": "206138077",
"telephone_number": "202-251-8334"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTHY HEALTH ASSESSMENT CLINIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-01",
"last_updated": "2024-02-01",
"certification_date": "2024-02-01",
"status": "A",
"authorized_official_last_name": "OKOUGBO",
"authorized_official_first_name": "JUSTINA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "202-251-8334"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brandywine, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.