Village Academy of Maryland

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

VILLAGE ACADEMY OF MARYLAND

Practice address

8601 Ashwood Dr
Capitol Heights, MD 20743-3721

Phone

(301) 336-1904

Fax

(301) 336-1906

NPI assigned

Apr 12, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Dawn Kum

Title

Ceo

Phone

(301) 336-1994

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1460419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460419200000",
    "number": "1356705776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8601 ASHWOOD DR",
            "city": "CAPITOL HEIGHTS",
            "state": "MD",
            "postal_code": "207433721",
            "telephone_number": "301-336-1904",
            "fax_number": "301-336-1906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8601 ASHWOOD DR",
            "city": "CAPITOL HEIGHTS",
            "state": "MD",
            "postal_code": "207433721",
            "telephone_number": "301-336-1904",
            "fax_number": "301-336-1906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE ACADEMY OF MARYLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-12",
        "last_updated": "2016-04-12",
        "status": "A",
        "authorized_official_last_name": "KUM",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "301-336-1994",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• True Kings TK Healthcare LLC
• Khamille Turnage, DPT
• S Valencia Tyrell, CPC
• Rodney Vaughn
• Jose M Velasquez
• Dominick Vilsaint, DPT
• Ashley Void, PH.D. LGPC
• Jeffrey Voorhees
• Tonya Lavon Wagoner, LGPC
• Kawanis Walker, CNA

• Local Education Agency (LEA) in Capitol Heights, MD
• Providers in Capitol Heights, MD by specialty
• Local Education Agency (LEA) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.