Individual provider Active NPI

Victoria Orie Bassey, FAMILY NURSE PRACTIT

  • Family Nurse Practitioner
  • White Plains, MD
National Provider Identifier
1497133748
Registry record updated Apr 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R146618 Issued in MD
Practice address
4475 Regency Place Ste 303
White Plains, MD 20695-0000
Phone
(301) 645-3420
Fax
(301) 265-0787
NPI assigned
May 7, 2015
Last updated
Apr 21, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2017

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 R146618 MD Primary

Addresses

Primary practice location

4475 Regency Place Ste 303
White Plains, MD 20695-0000

Mailing address

7350 Van Dusen Rd
Ste 390
Laurel, MD 20707-5231
Phone (240) 273-5404

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 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
I20170525000427 MD Practitioner - Nurse Practitioner 5294019287 Reassigns benefits to 1 organization
I20170525000853 DC Practitioner - Nurse Practitioner 5294019287 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R146618MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
M Medical Group, Inc. Current Accepting new patients
Exceptional Primary and Preventive Care LLC Family CurrentSince Dec 1, 2019 Accepting new patients
Medical Faculty Associates, Inc CurrentSince Oct 30, 2023 Accepting new patients
M Medical Group, Inc. CurrentSince Jul 27, 2022 Accepting new patients
M Management Group LLC Current Accepting new patients
M Management Group, LLC CurrentSince Jul 27, 2022 Accepting new patients
M Medical Group, Inc. CurrentSince Jul 27, 2022 Accepting new patients
M Management Group LLC CurrentSince Jul 27, 2022 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

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

4601 Martin Luther King Jr Ave SW
Washington, DC 20032
Phone (202) 373-5840

900 23rd St NW
Washington, DC 20037
Phone (202) 715-4750

901 1st St NW
Washington, DC 20001
Phone (202) 282-3005

22 S Athol Ave
Baltimore, MD 21229
Phone (410) 566-5015

5721 Grosvenor Ln
Bethesda, MD 20814
Phone (301) 530-1600

9106 Pine View Ln
Clinton, MD 20735
Phone (301) 856-2930

1 Price Dr
Elkton, MD 21921
Phone (410) 398-6474

303 Adclare Rd
Rockville, MD 20850
Phone (301) 279-9000

10301 Georgia Ave
Ste 209
Silver Spring, MD 20902
Phone (301) 587-6464

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20308/brand/1/csg/1/fhir/r4

Organizations & group practices 9

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": "1430956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492732800000",
    "number": "1497133748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7350 VAN DUSEN RD",
            "address_2": "STE 390",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207075231",
            "telephone_number": "240-273-5404",
            "fax_number": "301-265-0787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4475 REGENCY PLACE STE 303",
            "city": "WHITE PLAINS",
            "state": "MD",
            "postal_code": "206950000",
            "telephone_number": "301-645-3420",
            "fax_number": "301-265-0787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASSEY",
        "first_name": "VICTORIA",
        "middle_name": "ORIE",
        "name_prefix": "Ms.",
        "credential": "FAMILY NURSE PRACTIT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-07",
        "last_updated": "2017-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R146618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, MD

Sources for this page

Verify at the official NPI Registry.