Sheryl Punzal Deguzman-Buenaventura, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R175876 Issued in MD

Practice address

12410 Hillantrae Dr
Clinton, MD 20735-6510

Phone

(240) 423-6468

NPI assigned

Sep 25, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• National Capital Nephrology, PC

  • Nephrology Physician
  • Washington, DC
  • NPI 1912177049
  Medicare reassignment NPD

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

{
    "created_epoch": "1600992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614211200000",
    "number": "1407463300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12410 HILLANTRAE DR",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207356510",
            "telephone_number": "240-423-6468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12410 HILLANTRAE DR",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207356510",
            "telephone_number": "240-423-6468"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "106 Irving St NW Ste 208",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200102993",
            "country_code": "US",
            "telephone_number": "202-722-6040",
            "fax_number": "703-288-0536",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEGUZMAN-BUENAVENTURA",
        "first_name": "SHERYL",
        "middle_name": "PUNZAL",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-25",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "DC",
            "license": "RN1011264",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R175876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ieon Lloyd Dawson, M.D.,F.A.C.C.
• DCPS
• Joshua Dearing, MD
• Jenny Dees, LGPC, NCC
• Lindsey Degeorge, MD
• Nichole Delisio, PT
• Brittany Deloatch, NCC, LGPC
• Christopher Demas, PA
• Nicholas A Demonaco, M.D.
• Derek C. Ego-Osuala LLC (Excelsis root canal specialties)

• Family Nurse Practitioner in Clinton, MD
• Providers in Clinton, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.