Marypat Tobola, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024172822 Issued in VA

Practice address

Branch Health Clinic Patuxent River
47149 Buse Road, BLDG. 1370
Patuxent River, MD 20670

Phone

(301) 342-1506

NPI assigned

Oct 2, 2013

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1380672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1437586690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47119 BUSE ROAD",
            "address_2": "BUILDING 1370",
            "city": "PATUXENT RIVER",
            "state": "MD",
            "postal_code": "20670",
            "telephone_number": "013-342-1506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BRANCH HEALTH CLINIC PATUXENT RIVER",
            "address_2": "47149 BUSE ROAD, BLDG. 1370",
            "city": "PATUXENT RIVER",
            "state": "MD",
            "postal_code": "20670",
            "telephone_number": "301-342-1506"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "620 John Paul Jones Cir",
            "address_2": "Naval Medical Ctr Portsmouth Family Medicine Clinic",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "VA",
            "postal_code": "237082111",
            "country_code": "US",
            "telephone_number": "757-953-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOBOLA",
        "first_name": "MARYPAT",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-02",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0024172822",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024172822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Sherman
• Brett Evan Stark, DO
• Charles T Swail, DO
• Tinsae Tekleab
• Evelyn Tipton
• Monika Turner, PHARMD
• Mary Beth Voorhees, LCSW-C
• Washington DC Vamc
• Michael Stewart Weber Jr., DDS
• Michael W. Wentworth

• Family Nurse Practitioner in Patuxent River, MD
• Providers in Patuxent River, 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 Jun 20, 2024; 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.