Active NPI
Veronica Atuh Mukum
- Licensed Practical Nurse
- Adelphi, MD
National Provider Identifier
1578823068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- LPN1006661
- Practice address
- 1810 Metzerott Rd
Apt 42
Adelphi, MD 20783-5146 - Phone
- (240) 505-2166
- NPI assigned
- May 18, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | LPN1006661 | DC | Primary |
Addresses
Primary practice location
1810 Metzerott Rd
Apt 42
Adelphi, MD 20783-5146
Mailing address
12223 Guinevere Rd
Glenn Dale, MD 20769-8937
Phone (240) 505-2166
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPN1006661 | DC | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541116800000",
"number": "1578823068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12223 GUINEVERE RD",
"city": "GLENN DALE",
"state": "MD",
"postal_code": "207698937",
"telephone_number": "240-505-2166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1810 METZEROTT RD",
"address_2": "APT 42",
"city": "ADELPHI",
"state": "MD",
"postal_code": "207835146",
"telephone_number": "240-505-2166"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUKUM",
"first_name": "VERONICA",
"middle_name": "ATUH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-18",
"last_updated": "2018-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "DC",
"license": "LPN1006661",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Adelphi, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.