Mercy Urgent Care Clinic LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2011002215 Issued in MD

Legal business name

MERCY URGENT CARE CLINIC LLC

Practice address

2257 Bel Pre Rd
Silver Spring, MD 20906-2204

Phone

(301) 807-6957

NPI assigned

Sep 14, 2012

Last updated

May 16, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Prudence A Mancho, FNP-BCNPI 1891063822

Title

Owner

Phone

(301) 807-6957

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Prudence Ashie Mancho, FNP-BC

  • Family Nurse Practitioner
  • Silver Spring, MD
  • NPI 1891063822
  NPD (past) Authorized official

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

{
    "created_epoch": "1347580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368662400000",
    "number": "1528318896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2257 BEL PRE RD",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209062204",
            "telephone_number": "301-460-8000",
            "fax_number": "301-200-4610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2257 BEL PRE RD",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209062204",
            "telephone_number": "301-807-6957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY URGENT CARE CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-14",
        "last_updated": "2013-05-16",
        "status": "A",
        "authorized_official_last_name": "MANCHO",
        "authorized_official_first_name": "PRUDENCE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-807-6957",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R149483",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "2011002215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "336538700",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Kelly Ann Mercado, CRNP
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• Vanessa G Merino, LCSW-C
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• Family Nurse Practitioner in Silver Spring, MD
• Providers in Silver Spring, 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 May 16, 2013; 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.