Mariama Daniela Koroma

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R220181 Issued in MD

Practice address

8118 Good Luck Rd
Lanham, MD 20706-3574

Phone

(301) 552-8118

NPI assigned

Aug 3, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• AMC Healthcare Hydration

  • Health Service Clinic/Center
  • Lanham, MD
  • NPI 1457118788

  DC

  Medicare reassignment NPD
• Healthy Choice Family Clinic and Urgent Care, LLC

  • Primary Care Clinic/Center
  • Landover, MD
  • NPI 1003236001

  DC

  Medicare reassignment NPD
• Healthy Choice Family Clinic and Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Oxon Hill, MD
  • NPI 1194511717
  NPD

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

{
    "created_epoch": "1691020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1508548058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "749 FARAWAY CT",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207211825",
            "telephone_number": "240-938-8029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8118 GOOD LUCK RD",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207063574",
            "telephone_number": "301-552-8118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOROMA",
        "first_name": "MARIAMA",
        "middle_name": "DANIELA",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-03",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R220181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kontempo Healthcare
• Zavira Loica Konwou Hemou
• Juliana Kophio
• Isaac Lamin Koroma
• Janet Koroma
• Grace Kutubu Koromah I
• Jaures Kougoum
• Katherine L Koung
• Ydrine Natalie Kouonang Epse Nguebou
• Nadia Valery Kovalchuk, MD

• Family Nurse Practitioner in Lanham, MD
• Providers in Lanham, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.