Individual provider Active NPI

Amina Anyam

  • Registered Nurse
  • Lanham, MD
National Provider Identifier
1336406669
Registry record updated Sep 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN1059315 Issued in DC
Practice address
2510 Standifer PL
Lanham, MD 20706-2678
Phone
(240) 643-6654
NPI assigned
Apr 11, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN1059315 DC Primary

Addresses

Primary practice location

2510 Standifer PL
Lanham, MD 20706-2678

Mailing address

2510 Standifer PL
Lanham, MD 20706-2678
Phone (240) 643-6654

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250415001797 DC Practitioner - Mental Health Counselor 9537684311 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prestige Healthcare Resources Inc. CurrentSince Feb 24, 2025 Accepting new patients
Prestige Healthcare Resources, Inc CurrentSince Feb 24, 2025 Accepting new patients
Prestige Healthcare Resources Inc. Current Accepting new patients

Locations

143 Kennedy St NW
Ste 1
Washington, DC 20011
Phone (202) 558-2448

1418 Marion Barry Ave SE
Washington, DC 20020
Phone (202) 796-5000

Organizations & group practices 3

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": "1334102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693785600000",
    "number": "1336406669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 STANDIFER PL",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207062678",
            "telephone_number": "240-643-6654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 STANDIFER PL",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207062678",
            "telephone_number": "240-643-6654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANYAM",
        "first_name": "AMINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-11",
        "last_updated": "2023-09-04",
        "certification_date": "2023-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "DC",
            "license": "RN1059315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lanham, MD

Sources for this page

Verify at the official NPI Registry.