Individual provider Active NPI

Helina Somervell, CRNP, FAANP

  • Family Nurse Practitioner
  • Bethesda, MD
National Provider Identifier
1336285477
Registry record updated Dec 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R117393 Issued in MD
Practice address
10 Center Dr RM 4-5940
Bethesda, MD 20892-0004
Phone
(240) 858-3477
Fax
(301) 402-1788
NPI assigned
Jan 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R117393 MD Primary

Addresses

Primary practice location

10 Center Dr RM 4-5940
Bethesda, MD 20892-0004

Mailing address

10 Center Dr RM 4-5940
Bethesda, MD 20892-0004
Phone (240) 858-3477

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120131000015 MD Order and Referring Only - Nurse Practitioner 2264699461

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Hospital Inc Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638921600000",
    "number": "1336285477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CENTER DR RM 4-5940",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208920004",
            "telephone_number": "240-858-3477",
            "fax_number": "301-402-1788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CENTER DR RM 4-5940",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208920004",
            "telephone_number": "240-858-3477",
            "fax_number": "301-402-1788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOMERVELL",
        "first_name": "HELINA",
        "name_prefix": "Dr.",
        "credential": "CRNP, FAANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R117393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.