Active NPI
Olivia Nguh, NP
- Adult Health Nurse Practitioner
- Silver Spring, MD
National Provider Identifier
1336409374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- R220892
- Practice address
- 11510 Georgia Ave Ste 111
Silver Spring, MD 20902-1958 - Phone
- (240) 758-1782
- NPI assigned
- May 24, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | R220892 | MD | Primary |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | R220892 | MD |
Addresses
Primary practice location
11510 Georgia Ave Ste 111
Silver Spring, MD 20902-1958
Mailing address
520 Main St Apt 1205
Malden, MA 02148-3906
Phone (617) 767-1150
Other names 1
- Olivia Nguh
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: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
7404 Executive PL
Suite 100
Lanham, MD 20706-6237
Phone (240) 758-1782
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Medical Clinic | Current | Accepting new patients |
Locations
7404 Executive Pl
Ste 100
Lanham, MD 20706
Phone (240) 260-3827
11510 Georgia Ave
Ste 111
Wheaton, MD 20902
Phone (240) 758-1782
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": "1337817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700092800000",
"number": "1336409374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 MAIN ST APT 1205",
"city": "MALDEN",
"state": "MA",
"postal_code": "021483906",
"telephone_number": "617-767-1150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11510 GEORGIA AVE STE 111",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209021958",
"telephone_number": "240-758-1782"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUH",
"first_name": "OLIVIA",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-05-24",
"last_updated": "2023-11-16",
"certification_date": "2023-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MD",
"license": "R220892",
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MD",
"license": "R220892",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "OLIVIA",
"last_name": "NGUH",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.