Individual provider Active NPI

Violet Kamendi, CRNP

  • Family Nurse Practitioner
  • Gaithersburg, MD
National Provider Identifier
1528323771
Registry record updated Oct 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R175055 Issued in MD
Practice address
16021 Comprint Cir
Gaithersburg, MD 20877-1319
Phone
(240) 852-9384
Fax
(888) 447-5575
NPI assigned
Jul 12, 2012
Last updated
Oct 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2024

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 R175055 MD Primary

Addresses

Primary practice location

16021 Comprint Cir
Gaithersburg, MD 20877-1319

Mailing address

2601 Nisqually CT
Silver Spring, MD 20906-5702
Phone (240) 852-9384

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20120813000486 DC Practitioner - Nurse Practitioner 9436305109 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Health LLCGroup PAC ID 0143609586, 4 clinicians

Practice addresses (Care Compare)

16021 Comprint Cir
Gaithersburg, MD 20877-1319
Phone (240) 852-9384

6010 Executive Blvd
Suite 506
Rockville, MD 20852-3827
Phone (301) 231-5055

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R175055MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kariah Healthcare Solutions LLC Family CurrentSince Mar 1, 2023 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

16021 Comprint Cir
Gaithersburg, MD 20877
Phone (240) 486-7057

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15760/brand/1/csg/1/fhir/r4
  • Direct secure messaging: violet.kamendi.1@15760.direct.athenahealth.com

Organizations & group practices 4

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": "1342051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728172800000",
    "number": "1528323771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 NISQUALLY CT",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209065702",
            "telephone_number": "240-852-9384",
            "fax_number": "888-447-5575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16021 COMPRINT CIR",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208771319",
            "telephone_number": "240-852-9384",
            "fax_number": "888-447-5575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMENDI",
        "first_name": "VIOLET",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-12",
        "last_updated": "2024-10-06",
        "certification_date": "2024-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R175055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

Verify at the official NPI Registry.