Active NPI
Briana Tena Mahari, FNP
- Nurse Practitioner
- Waldorf, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- R221129
- Practice address
- 11637 Terrace Dr Ste 101
Waldorf, MD 20602-3707 - Phone
- (240) 629-9352
- Fax
- (240) 629-3953
- NPI assigned
- Nov 28, 2022
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R221129 | MD | Primary |
Addresses
Primary practice location
11637 Terrace Dr Ste 101
Waldorf, MD 20602-3707
Mailing address
5205 Chairmans CT Ste 201a
Frederick, MD 21703-2918
Phone (240) 629-3939
Other practice location 1
5205 Chairmans Ct Ste 201A
Frederick, MD 21703-2918
Phone (240) 629-3939
Other names 1
- Briana Tena Scipio
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 93.92 of 100
- Quality
- 87.63
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 81.8
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R221129 | MD | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boulder Care Provider Group PA | Current | Accepting new patients |
Locations
20046 Walker Rd
Ste 7
Shaker Heights, OH 44122
Phone (503) 208-5061
111 SW Naito Pkwy
Ste 200
Portland, OR 97204
Phone (503) 208-5061
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Boulder Care
- Addiction Medicine (Family Medicine) Physician
- Portland, OR
- NPI 1649838590
OH
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689033600000",
"number": "1659081081",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5205 CHAIRMANS CT STE 201A",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217032918",
"telephone_number": "240-629-3939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11637 TERRACE DR STE 101",
"city": "WALDORF",
"state": "MD",
"postal_code": "206023707",
"telephone_number": "240-629-9352",
"fax_number": "240-629-3953"
}
],
"practiceLocations": [
{
"address_1": "5205 Chairmans Ct Ste 201A",
"address_purpose": "LOCATION",
"city": "Frederick",
"state": "MD",
"postal_code": "217032918",
"country_code": "US",
"telephone_number": "240-629-3939",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAHARI",
"first_name": "BRIANA",
"middle_name": "TENA",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-28",
"last_updated": "2023-07-11",
"certification_date": "2023-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MD",
"license": "R221129",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BRIANA",
"last_name": "SCIPIO",
"middle_name": "TENA",
"credential": "FNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Waldorf, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.