Collette Anyiam, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R132391 Issued in MD

Practice address

7300 Van Dusen Rd
Laurel, MD 20707-9463

Phone

(301) 497-7966

Fax

(201) 617-8616

NPI assigned

Sep 18, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Vital Medical Center LLC

  • Primary Care Clinic/Center
  • Laurel, MD
  • NPI 1649123241
  NPD Authorized official

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

{
    "created_epoch": "1537228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537228800000",
    "number": "1649754425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 VAN DUSEN RD",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207079463",
            "telephone_number": "301-497-7966",
            "fax_number": "201-617-8616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 VAN DUSEN RD",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207079463",
            "telephone_number": "301-497-7966",
            "fax_number": "201-617-8616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANYIAM",
        "first_name": "COLLETTE",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-18",
        "last_updated": "2018-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R132391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Simon Kango Anu
• Emmanuel Anyam
• Mary Mbah Anyang
• Beatrice Anyanwu
• Kumli Anye
• Fobella Anyiji Nzobella
• Theres Taleh Anyizi
• Eric Aonsi Kanko
• Modupe A. Apassa, NP
• Aph Dependable Health Care, LLC

• Family Nurse Practitioner in Laurel, MD
• Providers in Laurel, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.