Individual provider Active NPI

Fynda Fillie-Faboe

  • Psychiatric/Mental Health Nurse Practitioner
  • Rockville, MD
National Provider Identifier
1649846999
Registry record updated Dec 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R116752 Issued in MD
Practice address
11140 Rockville Pike # S100-743
Rockville, MD 20852-3106
Phone
(240) 780-8003
Fax
(949) 862-8857
NPI assigned
May 27, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R116752 MD Primary

Addresses

Primary practice location

11140 Rockville Pike # S100-743
Rockville, MD 20852-3106

Mailing address

11140 Rockville Pike # S100-743
Rockville, MD 20852-3106
Phone (240) 780-8003

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
I20210916002610 MD Practitioner - Nurse Practitioner 7113324286 Reassigns benefits to 3 organizations
I20230103000211 DC Practitioner - Nurse Practitioner 7113324286 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

Practice addresses (Care Compare)

Rockville, MD 20852
Phone (240) 780-8003

11350 Pembrooke SQ
Suite 304
Waldorf, MD 20603-4809
Phone (571) 366-8845

9470 Annapolis Rd
Suite 309
Lanham, MD 20706-3022
Phone (202) 832-1800

950 N Glebe Rd
Suite 700
Arlington, VA 22203-4173

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R116752MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Western Maryland Health Services, LLC Current Accepting new patients
Privia Medical Group, LLC CurrentSince Apr 17, 2023 Accepting new patients
Upmc Western Maryland Health Services, LLC Psychiatric/Mental Health CurrentSince Apr 1, 2023 Accepting new patients
My Javoy at Serenity Wellness Care LLC CurrentSince Oct 1, 2022 Accepting new patients
Upmc Western Maryland Health Services, LLC CurrentSince Apr 1, 2023 Accepting new patients
Privia Medical Group, LLC CurrentSince Apr 17, 2023 Accepting new patients
Salus Health Inc CurrentSince Mar 6, 2023 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

133 Defense Hwy
Ste 112
Annapolis, MD 21401
Phone (410) 573-0140

1020 Saint Paul St
Baltimore, MD 21202
Phone (410) 529-0348

12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255

12502 Willowbrook Rd
Ste 380
Cumberland, MD 21502
Phone (240) 964-8585

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

11140 Rockville Pike
Ste 100
Rockville, MD 20852
Phone (240) 575-6210

11350 Pembrooke Sq
Ste 304
Waldorf, MD 20603
Phone (301) 856-2810

Interoperability endpoints

  • Direct secure messaging: fynda.fillie-faboe.1@8042.direct.athenahealth.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1622073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767052800000",
    "number": "1649846999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11140 ROCKVILLE PIKE # S100-743",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208523106",
            "telephone_number": "240-780-8003",
            "fax_number": "949-862-8857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11140 ROCKVILLE PIKE # S100-743",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208523106",
            "telephone_number": "240-780-8003",
            "fax_number": "949-862-8857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FILLIE-FABOE",
        "first_name": "FYNDA",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-27",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R116752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.