Active NPI
Saba Afzal Warraich, NP
- Family Nurse Practitioner
- Frederick, MD
National Provider Identifier
1336807874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R229702
- Practice address
- 5255 Buckeystown Pike
Frederick, MD 21704-7535 - Phone
- (301) 695-5678
- NPI assigned
- Dec 1, 2021
- Last updated
- Oct 14, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R229702 | MD | Primary |
Addresses
Primary practice location
5255 Buckeystown Pike
Frederick, MD 21704-7535
Mailing address
5314 Lakevale Ter
Bowie, MD 20720-4858
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peridot Primary Care, LLC | Family | Current | Accepting new patients |
Locations
5255 Buckeystown Pike
Frederick, MD 21704
Phone (301) 695-5678
Interoperability endpoints
- swarraich139102@direct.aahs.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Nurse Practitioner
- Clarksburg, MD
- NPI 1356957252
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697241600000",
"number": "1336807874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5314 LAKEVALE TER",
"city": "BOWIE",
"state": "MD",
"postal_code": "207204858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5255 BUCKEYSTOWN PIKE",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217047535",
"telephone_number": "301-695-5678"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARRAICH",
"first_name": "SABA",
"middle_name": "AFZAL",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-01",
"last_updated": "2023-10-14",
"certification_date": "2023-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "R229702",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.