Individual provider Active NPI

Yolima Moncada, FNP

  • Nurse Practitioner
  • Alexandria, VA
National Provider Identifier
1396118204
Registry record updated Jan 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0024177479 Issued in VA
Practice address
3610D King St
Alexandria, VA 22302-1908
Phone
(703) 845-2815
NPI assigned
Nov 2, 2015
Last updated
Jan 15, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0024177479 VA Primary
Family Nurse Practitioner 363LF0000X RN967590 DC

Addresses

Primary practice location

3610D King St
Alexandria, VA 22302-1908

Mailing address

1201 Braddock PL Apt 501
Alexandria, VA 22314-1671
Phone (202) 355-4352

Other practice location 1

2333 Ontario Road NW
Washington, DC 20009
Phone (202) 483-8196

Other practice location 2

2200 Opitz Blvd Ste 355
Woodbridge, VA 22191-3340
Phone (703) 580-6400

Other names 1

  • Yolim Moncada Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20201217002783 DC Practitioner - Nurse Practitioner 8527470426 Reassigns benefits to 1 organization
I20210107000204 MD Practitioner - Nurse Practitioner 8527470426 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medstar Urgent Care LLCGroup PAC ID 9335303155, shared by 36 NPIs, 300 clinicians

Practice addresses (Care Compare)

11915 Georgia Ave
Wheaton, MD 20902-2065
Phone (301) 942-4505

1805 Columbia Rd NW
Washington, DC 20009-2001
Phone (202) 797-4960

20 University Blvd E
Silver Spring, MD 20901-2436
Phone (240) 863-2720

228 7TH St SE
Washington, DC 20003-4306
Phone (202) 698-0795

3064 Waldorf Market PL
Waldorf, MD 20603-4871
Phone (301) 932-5960

3350 Crain Hwy
Waldorf, MD 20603-4850
Phone (443) 584-5787

37767 Market Dr
Charlotte Hall, MD 20622-3188
Phone (301) 290-1499

4507 Stanford St
Bethesda, MD 20815-5205
Phone (443) 302-9258

45870 E Run Dr
Lexington Park, MD 20653-4362
Phone (240) 895-8630

500 Charles St
La Plata, MD 20646-5931
Phone (410) 451-1800

6317 York Rd
Baltimore, MD 21212-2310
Phone (443) 777-6890

6401 America Blvd
Hyattsville, MD 20782-2357
Phone (301) 276-8800

8605 Ridgelys Choice Dr
Nottingham, MD 21236-2953
Phone (410) 248-2310

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN967590DCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Urgent Care LLC CurrentSince Dec 1, 2020 Accepting new patients
Medstar Urgent Care, LLC CurrentSince Dec 1, 2020 Accepting new patients
Medstar Urgent Care LLC Current Accepting new patients
Medstar Urgent Care LLC CurrentSince Dec 1, 2020 Accepting new patients
Oscar F Sugastti, MD, LLC Past Accepting new patients

Locations

1805 Columbia Rd NW
Washington, DC 20009
Phone (202) 797-4950

6317 York Rd
Baltimore, MD 21212
Phone (443) 777-6890

3064 Waldorf Market Pl
Waldorf, MD 20603
Phone (301) 932-5960

11915 Georgia Ave
Wheaton, MD 20902
Phone (301) 942-4505

3610D King St
Alexandria, VA 22302
Phone (703) 845-2815

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1446422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610668800000",
    "number": "1396118204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 BRADDOCK PL APT 501",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223141671",
            "telephone_number": "202-355-4352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3610D KING ST",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223021908",
            "telephone_number": "703-845-2815"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2333 Ontario Road NW",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "20009",
            "country_code": "US",
            "telephone_number": "202-483-8196",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2200 Opitz Blvd Ste 355",
            "address_purpose": "LOCATION",
            "city": "Woodbridge",
            "state": "VA",
            "postal_code": "221913340",
            "country_code": "US",
            "telephone_number": "703-580-6400",
            "fax_number": "703-580-4550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONCADA",
        "first_name": "YOLIMA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-02",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024177479",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DC",
            "license": "RN967590",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YOLIM",
            "last_name": "MONCADA",
            "credential": "FNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.