Alimatu Mariama Koroma, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R175742 Issued in MD

Practice address

501 Dutchmans LN
Easton, MD 21601-3342

Phone

(410) 822-8888

NPI assigned

May 18, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

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 and National Provider Directory roles.

• Kinetic Pulmonology Associates

  • Nurse Practitioner
  • Potomac, MD
  • NPI 1346096377

  MD

  Medicare reassignment NPD

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

{
    "created_epoch": "1715990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715990400000",
    "number": "1467201632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8676 CAMAC ST",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216016205",
            "telephone_number": "410-725-1577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 DUTCHMANS LN",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216013342",
            "telephone_number": "410-822-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOROMA",
        "first_name": "ALIMATU",
        "middle_name": "MARIAMA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-18",
        "last_updated": "2024-05-18",
        "certification_date": "2024-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R175742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Kohler
• Konlian,O'Neill & Associates, P.a.
• Konlian,O'Neill & Associates, P.a.
• Heather Koontz, PMHNP-BC
• Elizabeth C Koprowski, PH.D.
• Matthew Kraft, RT (R)
• Wendy Sue Kraus, MA
• Joseph J Kroniser, D.C.
• Victoria Kimberly Kuntz, AGAC-NP
• Khalid Helmy Kurtom, MD

• All providers in Easton, MD
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.