Individual provider Active NPI

Maria Teresa Acquaviva, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Washington, DC
National Provider Identifier
1467517060
Registry record updated Feb 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN41309 Issued in DC
Practice address
1251B Saratoga Ave NE
Washington, DC 20018-1025
Phone
(202) 832-8818
Fax
(202) 548-8600
NPI assigned
Dec 25, 2006
Last updated
Feb 12, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN41309 DC Primary

Addresses

Primary practice location

1251B Saratoga Ave NE
Washington, DC 20018-1025

Mailing address

1251B Saratoga Ave NE
Washington, DC 20018-1025
Phone (202) 832-8818

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20100823000703 DC Practitioner - Nurse Practitioner 8426182791 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN41309DCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Unity Health Care, Inc. CurrentSince May 26, 2010 Accepting new patients
Unity Health Care Inc. CurrentSince May 26, 2010 Accepting new patients

Locations

1201 Brentwood Rd NE
Washington, DC 20018
Phone (202) 832-8818

1251B Saratoga Ave NE
Washington, DC 20018
Phone (202) 832-8818

1310 Southern Ave SE
Washington, DC 20032
Phone (202) 574-6000

Interoperability endpoints

  • Direct secure messaging: teresa.acquaviva@uhci.eclinicaldirectplus.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1167004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518393600000",
    "number": "1467517060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1251B SARATOGA AVE NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200181025",
            "telephone_number": "202-832-8818",
            "fax_number": "202-548-8619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251B SARATOGA AVE NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200181025",
            "telephone_number": "202-832-8818",
            "fax_number": "202-548-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACQUAVIVA",
        "first_name": "MARIA",
        "middle_name": "TERESA",
        "name_prefix": "Ms.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-25",
        "last_updated": "2018-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DC",
            "license": "RN41309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.