Individual provider Active NPI

Andrea Strawderman, FNP-BC

  • Family Nurse Practitioner
  • Rockville, MD
National Provider Identifier
1528464120
Registry record updated Aug 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R140064 Issued in MD
Practice address
9711 Medical Center Dr Ste 208
Rockville, MD 20850
Phone
(240) 826-6423
NPI assigned
Nov 8, 2014
Last updated
Aug 7, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2019

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 R140064 MD Primary

Addresses

Primary practice location

9711 Medical Center Dr Ste 208
Rockville, MD 20850

Mailing address

9711 Medical Center Dr Ste 208
Rockville, MD 20850-3323
Phone (240) 826-6423

Other practice location 1

9815 Main St
Suite 208
Damascus, MD 20872-2002
Phone (301) 253-4004

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
I20150428000539 MD Practitioner - Nurse Practitioner 3870812712
I20170406001980 DC Practitioner - Nurse Practitioner 3870812712 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R140064MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Benjamin F. Papoi, P.C. CurrentSince Jan 4, 2017 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

9815 Main St
Ste 208
Damascus, MD 20872
Phone (301) 253-4004

Organizations & group practices 2

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": "1415404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565136000000",
    "number": "1528464120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9711 MEDICAL CENTER DR STE 208",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503323",
            "telephone_number": "240-826-6423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9711 MEDICAL CENTER DR STE 208",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "20850",
            "telephone_number": "240-826-6423"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9815 Main St",
            "address_2": "Suite 208",
            "address_purpose": "LOCATION",
            "city": "Damascus",
            "state": "MD",
            "postal_code": "208722002",
            "country_code": "US",
            "telephone_number": "301-253-4004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STRAWDERMAN",
        "first_name": "ANDREA",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-08",
        "last_updated": "2019-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R140064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.