Elite Medical Care LLC

Key facts

NPI

1346987690

Entity type

Organization (NPI type 2)

Primary specialty

Family Nurse Practitioner 363LF0000X

Legal business name

ELITE MEDICAL CARE LLC

Practice address

9202 Glenarden Pkwy
Glenarden, MD 20706-2666

Phone

(301) 799-7546

NPI assigned

May 18, 2022

Organization subpart

No

Authorized official

Name

Jamestina Diop, CRNP-BC NPI 1134510266

Title

Family Nurse Practitioner

Phone

(301) 799-7546

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jamestina Diop, RN, MSN, CRNP Family Nurse Practitioner · Washington, DC · NPI 1134510266
  NPD Authorized official FAMILY

National Provider Directory

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 18, 2022.

{
    "created_epoch": "1652832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652832000000",
    "number": "1346987690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9202 GLENARDEN PKWY",
            "city": "GLENARDEN",
            "state": "MD",
            "postal_code": "207062666",
            "telephone_number": "301-799-7546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9202 GLENARDEN PKWY",
            "city": "GLENARDEN",
            "state": "MD",
            "postal_code": "207062666",
            "telephone_number": "301-799-7546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE MEDICAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-18",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A",
        "authorized_official_last_name": "DIOP",
        "authorized_official_first_name": "JAMESTINA",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "301-799-7546",
        "authorized_official_credential": "CRNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Glenarden, MD · Family Nurse Practitioner in Maryland