Ark Visionary Healthcare

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

ARK VISIONARY HEALTHCARE

Practice address

5900 Princess Garden Pkwy
Lanham, MD 20706-2925

Phone

(240) 883-2660

NPI assigned

Jan 17, 2022

Organization subpart

No

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

Authorized official

Name

Salma Khan

Title

Authorized Official

Phone

(866) 282-5040

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

Practitioners 1

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

• Jebeh Baimba

  • Family Nurse Practitioner
  • Lanham, MD
  • NPI 1144799834

  DC

  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1642377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642377600000",
    "number": "1346991882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6902 STORCH CIR",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207062177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 PRINCESS GARDEN PKWY",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207062925",
            "telephone_number": "240-883-2660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARK VISIONARY HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-17",
        "last_updated": "2022-01-17",
        "certification_date": "2022-01-17",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "SALMA",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "866-282-5040"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSEE",
            "identifier": "123456789",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.arkhealthcare.com",
            "affiliation": "N",
            "address_1": "5900 Princess Garden Pkwy",
            "city": "Lanham",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207062925",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ellen Daphne Grace Aquino
• Edith N Arah, RN
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• Magdalena I. Arevalo, RBT
• Jessica Felice Armstead
• Kehinde Arogundade, HHA
• Zainab Aromashodu
• Jan Patrick Arrieta, MBA, MAN, RN
• Arso Neuro Rehab and Orthopedic Center

• Nurse Practitioner in Lanham, MD
• Providers in Lanham, MD by specialty
• Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2022; 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.

Verify at the official NPI Registry.