Viji Nathan, NP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

R204147 Issued in MD

Practice address

5015 Nantucket Rd
College Park, MD 20740-4619

Phone

(301) 520-4073

NPI assigned

Oct 14, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Viji Nathan Ouellette Former name

Electronic endpoints 1

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

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 and National Provider Directory roles.

• Familys Urgent Care

  • Family Medicine Physician
  • Hyattsville, MD
  • NPI 1619491735

  DC, Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1665705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665705600000",
    "number": "1457077059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5015 NANTUCKET RD",
            "city": "COLLEGE PARK",
            "state": "MD",
            "postal_code": "207404619",
            "telephone_number": "301-520-4073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5015 NANTUCKET RD",
            "city": "COLLEGE PARK",
            "state": "MD",
            "postal_code": "207404619",
            "telephone_number": "301-520-4073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NATHAN",
        "first_name": "VIJI",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-14",
        "last_updated": "2022-10-14",
        "certification_date": "2022-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MD",
            "license": "R204147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "viji.ouellette@va.gov",
            "affiliation": "N",
            "endpointDescription": "viji.ouellette@va.gov",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5015 Nantucket Rd",
            "city": "College Park",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207404619",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "VIJI",
            "last_name": "OUELLETTE",
            "middle_name": "NATHAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Eva Rachel Nakazzi
• Naomi Ngonde Namata
• Jovani Djibril Nana Tchenou
• Deanna Marie Nara, MS, CNS, LDN
• Glenn A Nathan, DDS
• Catherine Mbeh Ncha
• Rose Fomenji Nchapanu
• Daniel C Nche
• Rebecca M Ndekeja
• Adeline Ndifong

• Acute Care Nurse Practitioner in College Park, MD
• Providers in College Park, MD by specialty
• Acute Care Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2022; 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.