Active NPI
Patient Centered Health Care LLC
- Primary Care Nurse Practitioner
- Lanham, MD
National Provider Identifier
1316403868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- Legal business name
- PATIENT CENTERED HEALTH CARE LLC
- Practice address
- 9470 Annapolis Rd
Lanham, MD 20706-3025 - Phone
- (240) 770-6689
- NPI assigned
- Feb 20, 2019
- Last updated
- Apr 16, 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
- Caroline Ibijemilusi, NP
- Title
- Owner
- Phone
- (240) 770-6689
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 |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | NU | Primary |
Addresses
Primary practice location
9470 Annapolis Rd
Lanham, MD 20706-3025
Mailing address
9470 Annapolis Rd
Lanham, MD 20706-3025
Phone (240) 770-6689
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Primary Care Nurse Practitioner
- Lanham, MD
- NPI 1982188231
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550620800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1713225600000",
"number": "1316403868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9470 ANNAPOLIS RD",
"city": "LANHAM",
"state": "MD",
"postal_code": "207063025",
"telephone_number": "240-770-6689"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9470 ANNAPOLIS RD",
"city": "LANHAM",
"state": "MD",
"postal_code": "207063025",
"telephone_number": "240-770-6689"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PATIENT CENTERED HEALTH CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-02-20",
"last_updated": "2024-04-16",
"certification_date": "2024-04-16",
"status": "A",
"authorized_official_last_name": "IBIJEMILUSI",
"authorized_official_first_name": "CAROLINE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "240-770-6689",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lanham, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.