NPIMap

Organization Active NPI

Chasly Medical Clinic LLC

  • Family Nurse Practitioner
  • Bowie, MD
National Provider Identifier
1508660762
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
CHASLY MEDICAL CLINIC LLC
Practice address
13213 5TH St
Bowie, MD 20720-3609
Phone
(301) 806-6986
NPI assigned
Apr 4, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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

Authorized official

Name
Lucy EkassiNPI 1902675978
Title
Owner
Phone
(301) 806-6986

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: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

13213 5TH St
Bowie, MD 20720-3609

Mailing address

13213 5TH St
Bowie, MD 20720-3609
Phone (301) 806-6986

National Provider Directory

National Provider Directory
Tax ID family
Chasly Medical Clinic LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the 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": "1743724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753833600000",
    "number": "1508660762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13213 5TH ST",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207203609",
            "telephone_number": "301-806-6986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13213 5TH ST",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207203609",
            "telephone_number": "301-806-6986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHASLY MEDICAL CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-04",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A",
        "authorized_official_last_name": "EKASSI",
        "authorized_official_first_name": "LUCY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-806-6986"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.