Organization Active NPI

Healthy Health Assessment Clinic LLC

  • Family Nurse Practitioner
  • Brandywine, MD
National Provider Identifier
1306609318
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Justina OkougboNPI 1851910293
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)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.