Individual provider Active NPI

Lovelyn I Bialose, FNP

  • Family Nurse Practitioner
  • Lanham, MD
National Provider Identifier
1467851899
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN967940 Issued in DC
Practice address
9801 Greenbelt Rd Ste 318
Lanham, MD 20706-6231
Phone
(202) 817-0027
NPI assigned
Aug 21, 2014
Last updated
Jul 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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 RN967940 DC Primary

Addresses

Primary practice location

9801 Greenbelt Rd Ste 318
Lanham, MD 20706-6231

Mailing address

801 Lake Shore Dr
Bowie, MD 20721-2909
Phone (202) 817-0027

Other practice location 1

1331 H St NW Ste 200
Washington, DC 20005-4706
Phone (202) 601-0801

Other identifiers 1

IdentifierTypeStateIssuer
018352024MedicaidDC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20191211000128 DC Practitioner - Nurse Practitioner 1850724527 Reassigns benefits to 2 organizations
I20241108001997 MD Practitioner - Nurse Practitioner 1850724527

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

9801 Greenbelt Rd
Suite 318
Lanham, MD 20706-6231
Phone (301) 889-9330

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN967940DCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Concept for Women and Children With HIV AIDS Inc CurrentSince Jun 1, 2023 Accepting new patients
Concept for Women & Children Wellness Clinic CurrentSince Oct 22, 2019 Accepting new patients

Locations

1331 H St NW
Ste 200
Washington, DC 20005
Phone (202) 417-6576

9801 Greenbelt Rd
Ste 318
Lanham, MD 20706
Phone (301) 552-4444

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": "1408579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1467851899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 LAKE SHORE DR",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207212909",
            "telephone_number": "202-817-0027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9801 GREENBELT RD STE 318",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207066231",
            "telephone_number": "202-817-0027"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1331 H St NW Ste 200",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200054706",
            "country_code": "US",
            "telephone_number": "202-601-0801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BIALOSE",
        "first_name": "LOVELYN",
        "middle_name": "I",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-21",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DC",
            "license": "RN967940",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018352024",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lanham, MD

Sources for this page

Verify at the official NPI Registry.