Individual provider Active NPI

Samira Nasuru IV

  • Nurse's Aide
  • Beltsville, MD
National Provider Identifier
1356704183
Registry record updated Mar 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
License
NA00809180 Issued in DC
Practice address
11344 Cherry Hill Rd Unit 204
Beltsville, MD 20705-3737
Phone
(240) 374-8511
NPI assigned
Mar 30, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's Aide 376K00000X NA00809180 DC Primary

Addresses

Primary practice location

11344 Cherry Hill Rd Unit 204
Beltsville, MD 20705-3737

Mailing address

11344 Cherry Hill Rd Unit 204
Beltsville, MD 20705-3737
Phone (240) 374-8511

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
NA00809180DCMDNurse's Aide

NPI Registry JSON

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

{
    "created_epoch": "1459296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459296000000",
    "number": "1356704183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11344 CHERRY HILL RD UNIT 204",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207053737",
            "telephone_number": "240-374-8511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11344 CHERRY HILL RD UNIT 204",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207053737",
            "telephone_number": "240-374-8511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASURU",
        "first_name": "SAMIRA",
        "name_suffix": "IV",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-30",
        "last_updated": "2016-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "DC",
            "license": "NA00809180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beltsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.