Individual provider Active NPI

Mintzella McMillan- Rozario

  • Licensed Practical Nurse
  • Capitol Heights, MD
National Provider Identifier
1487448791
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
LP29073 Issued in MD
Practice address
6301 Walker Mill Rd
Capitol Heights, MD 20743-4328
Phone
(301) 516-4330
NPI assigned
Apr 9, 2025
Last updated
Apr 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X LP29073 MD Primary

Addresses

Primary practice location

6301 Walker Mill Rd
Capitol Heights, MD 20743-4328

Mailing address

7104 Kempton Rd
Lanham, MD 20706-1102
Phone (301) 509-7636

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LP29073MDMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Fresenius Medical Care Fairmount Heights, LLC CurrentSince Apr 13, 2025 Accepting new patients
Metro Renal Associates, PLLC PastSince Apr 13, 2025 Accepting new patients

Locations

6301 Walker Mill Rd
Capitol Heights, MD 20743
Phone (202) 877-5408

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": "1744156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1487448791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7104 KEMPTON RD",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207061102",
            "telephone_number": "301-509-7636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6301 WALKER MILL RD",
            "city": "CAPITOL HEIGHTS",
            "state": "MD",
            "postal_code": "207434328",
            "telephone_number": "301-516-4330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMILLAN- ROZARIO",
        "first_name": "MINTZELLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-09",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MD",
            "license": "LP29073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Capitol Heights, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.