NPIMap

Organization Active NPI

Kyakba Therapeutic Health Services LLC

  • Family Nurse Practitioner
  • Silver Spring, MD
National Provider Identifier
1487932091
Registry record updated Jul 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R181699 Issued in MD
Legal business name
KYAKBA THERAPEUTIC HEALTH SERVICES LLC
Practice address
15522 Baileys LN
Silver Spring, MD 20906-1343
Phone
(301) 525-3933
Fax
(240) 491-5994
NPI assigned
Jul 31, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2011

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

Authorized official

Name
Claudia Warren-Taylor, FNP-BCNPI 1922284785
Title
Ceo
Phone
(301) 525-3933

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X R181699 MD Primary

Addresses

Primary practice location

15522 Baileys LN
Silver Spring, MD 20906-1343

Mailing address

15522 Baileys LN
Silver Spring, MD 20906-1343
Phone (301) 525-3933

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1312070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312070400000",
    "number": "1487932091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15522 BAILEYS LN",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209061343",
            "telephone_number": "301-525-3933",
            "fax_number": "240-491-5994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15522 BAILEYS LN",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209061343",
            "telephone_number": "301-525-3933",
            "fax_number": "240-491-5994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KYAKBA THERAPEUTIC HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-31",
        "last_updated": "2011-07-31",
        "status": "A",
        "authorized_official_last_name": "WARREN-TAYLOR",
        "authorized_official_first_name": "CLAUDIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "301-525-3933",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R181699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2011; 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.