Organization Active NPI

Golden Days, LLC

  • Family Nurse Practitioner
  • Bowie, MD
National Provider Identifier
1326426958
Registry record updated Sep 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F07141329 Issued in MD
Legal business name
GOLDEN DAYS, LLC
Practice address
15480 Annapolis Rd
Ste 202
Bowie, MD 20715-1852
Phone
(301) 503-1490
NPI assigned
May 15, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2016

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

Authorized official

Name
Mrs. Shavonne Salaam, CRNP
Title
Family Nurse Practitioner
Phone
(301) 503-1490

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X F07141329 MD Primary

Addresses

Primary practice location

15480 Annapolis Rd
Ste 202
Bowie, MD 20715-1852

Mailing address

15480 Annapolis Rd
Ste 202
Bowie, MD 20715-1852
Phone (301) 503-1490

Other names 1

  • Golden Days Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161104000724 DC Part B Supplier - Clinic/Group Practice 3678851201 Receives reassigned benefits from 1 practitioner
Practice locations: Bowie, MD

National Provider Directory

National Provider Directory

Locations

6111 High Bridge Rd
Bowie, MD 20720
Phone (301) 503-1490

15480 Annapolis Rd
Ste 202
Bowie, MD 20715
Phone (301) 392-7075

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1431648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473120000000",
    "number": "1326426958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15480 ANNAPOLIS RD",
            "address_2": "STE 202",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207151852",
            "telephone_number": "301-503-1490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15480 ANNAPOLIS RD",
            "address_2": "STE 202",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207151852",
            "telephone_number": "301-503-1490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN DAYS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-15",
        "last_updated": "2016-09-06",
        "status": "A",
        "authorized_official_last_name": "SALAAM",
        "authorized_official_first_name": "SHAVONNE",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "301-503-1490",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "F07141329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden Days",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bowie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.