Active NPI
Ezcare Clinic LLC
- Family Nurse Practitioner
- Frederick, MD
National Provider Identifier
1447735352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- EZCARE CLINIC LLC
- Practice address
- 1519 W Patrick St Ste A1
Frederick, MD 21702-3763 - Phone
- (832) 874-8642
- NPI assigned
- Sep 26, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Delphine Aya Batcha, FNP,BC
- Title
- FNP
- Phone
- (832) 874-8642
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
1519 W Patrick St Ste A1
Frederick, MD 21702-3763
Mailing address
9553 Brigadoon LN
Frederick, MD 21704-7863
Other names 1
- EZCARE CLINIC LLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Frederick, MD
- NPI 1225570609
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537920000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1537920000000",
"number": "1447735352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9553 BRIGADOON LN",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217047863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1519 W PATRICK ST STE A1",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217023763",
"telephone_number": "832-874-8642"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EZCARE CLINIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-09-26",
"last_updated": "2018-09-26",
"status": "A",
"authorized_official_last_name": "BATCHA",
"authorized_official_first_name": "DELPHINE",
"authorized_official_middle_name": "AYA",
"authorized_official_title_or_position": "FNP",
"authorized_official_telephone_number": "832-874-8642",
"authorized_official_credential": "FNP,BC"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "EZCARE CLINIC LLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.