NPIMap

Organization Active NPI

Faithfirst Health Clinic & Urgent Care LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Temple Hills, MD
National Provider Identifier
1619648136
Registry record updated Sep 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
FAITHFIRST HEALTH CLINIC & URGENT CARE LLC
Practice address
4302 Saint Barnabas Rd Ste G
Temple Hills, MD 20748-1842
Phone
(240) 619-5620
Fax
(800) 853-3149
NPI assigned
Sep 23, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2021

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

Authorized official

Name
Dr. Calista Ogbu, DNPNPI 1477811800
Title
Provider
Phone
(240) 334-2520

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

4302 Saint Barnabas Rd Ste G
Temple Hills, MD 20748-1842

Mailing address

4302 Saint Barnabas Rd Ste G
Temple Hills, MD 20748-1842
Phone (240) 619-5620

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL EHR

National Provider Directory

National Provider Directory
Tax ID family
Faithfirst Health Clinic Urgent Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1632355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632355200000",
    "number": "1619648136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4302 SAINT BARNABAS RD STE G",
            "city": "TEMPLE HILLS",
            "state": "MD",
            "postal_code": "207481842",
            "telephone_number": "240-619-5620",
            "fax_number": "800-853-3149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4302 SAINT BARNABAS RD STE G",
            "city": "TEMPLE HILLS",
            "state": "MD",
            "postal_code": "207481842",
            "telephone_number": "240-619-5620",
            "fax_number": "800-853-3149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITHFIRST HEALTH CLINIC & URGENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-23",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-23",
        "status": "A",
        "authorized_official_last_name": "OGBU",
        "authorized_official_first_name": "CALISTA",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "240-334-2520",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "EHR",
            "affiliation": "N",
            "address_1": "4302 Saint Barnabas Rd Ste G",
            "city": "Temple Hills",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207481842",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Temple Hills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2021; 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.