Active NPI
Bao Health Group LLC
- Family Nurse Practitioner
- Laurel, MD
National Provider Identifier
1588409122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- BAO HEALTH GROUP LLC
- Practice address
- 12235 Apache Tears Cir
Laurel, MD 20708-2850 - Phone
- (240) 351-0790
- NPI assigned
- Jun 26, 2024
- Last updated
- Jun 26, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Janet Ndumu, NP
- Title
- Owner
- Phone
- (243) 351-0790
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
12235 Apache Tears Cir
Laurel, MD 20708-2850
Mailing address
12235 Apache Tears Cir
Laurel, MD 20708-2850
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Family Nurse Practitioner
- Laurel, MD
- NPI 1710494554
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719360000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1719360000000",
"number": "1588409122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12235 APACHE TEARS CIR",
"city": "LAUREL",
"state": "MD",
"postal_code": "207082850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12235 APACHE TEARS CIR",
"city": "LAUREL",
"state": "MD",
"postal_code": "207082850",
"telephone_number": "240-351-0790"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BAO HEALTH GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-06-26",
"last_updated": "2024-06-26",
"certification_date": "2024-06-26",
"status": "A",
"authorized_official_last_name": "NDUMU",
"authorized_official_first_name": "JANET",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "243-351-0790",
"authorized_official_credential": "NP"
},
"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 Laurel, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.