Active NPI
Exceptional Primary and Preventive Care LLC
- Family Nurse Practitioner
- Silver Spring, MD
National Provider Identifier
1336700251
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- EXCEPTIONAL PRIMARY AND PREVENTIVE CARE LLC
- Practice address
- 10301 Georgia Ave Ste 209
Silver Spring, MD 20902-5020 - Phone
- (240) 277-8294
- NPI assigned
- Jun 21, 2019
- 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
- Florence Odubayo, FNP
- Title
- Owner
- Phone
- (240) 277-8294
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
10301 Georgia Ave Ste 209
Silver Spring, MD 20902-5020
Mailing address
10301 Georgia Ave Ste 209
Silver Spring, MD 20902-5020
Phone (240) 277-8294
Other names 1
- EXCEPTIONAL PRIMARY AND PREVENTIVE CARE LLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
10301 Georgia Ave
Washington, DC 20202
Interoperability endpoints
- https://api.platform.athenahealth.com/20308/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- White Plains, MD
- NPI 1497133748
DC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561075200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1561075200000",
"number": "1336700251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10301 GEORGIA AVE STE 209",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209025020",
"telephone_number": "240-277-8294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10301 GEORGIA AVE STE 209",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209025020",
"telephone_number": "240-277-8294"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EXCEPTIONAL PRIMARY AND PREVENTIVE CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-06-21",
"last_updated": "2019-06-21",
"status": "A",
"authorized_official_last_name": "ODUBAYO",
"authorized_official_first_name": "FLORENCE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "240-277-8294",
"authorized_official_credential": "FNP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "EXCEPTIONAL PRIMARY AND PREVENTIVE CARE LLC",
"code": "3",
"type": "Doing Business As"
}
]
}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 Jun 21, 2019; 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.