Individual provider Active NPI

Azah Julliet James, CNM

  • Midwife
  • Upper Marlboro, MD
National Provider Identifier
1669022422
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
R273479 Issued in MD
Practice address
5507 Thomas Sim Lee Ter
Upper Marlboro, MD 20772-7405
Phone
(240) 713-1789
NPI assigned
Sep 13, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN1053037 DC
MidwifeGroup: 193200000X MULTI-SPECIALTY GROUP 176B00000X R273479 MD Primary

Addresses

Primary practice location

5507 Thomas Sim Lee Ter
Upper Marlboro, MD 20772-7405

Mailing address

5507 Thomas Sim Lee Ter
Upper Marlboro, MD 20772-7405
Phone (240) 713-1789

Other names 1

  • Miss Azah Nfon Julliet Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251106004459 VA Practitioner - Certified Nurse Midwife (CNM) 7517457625 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

265 Brookview Centre Way
Knoxville, TN 37919-4053

5507 Thomas Sim Lee Ter
Upper Marlboro, MD 20772-7405

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
RN1053037DCMDRegistered Nurse
R273479MDMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
DHP of Virginia PC Multi-Specialty CurrentSince Nov 1, 2025 Accepting new patients

Locations

44055 Riverside Pkwy
Ste 234
Leesburg, VA 20176
Phone (703) 858-3020

44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040

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.

NPI Registry JSON

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

{
    "created_epoch": "1568332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1669022422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5507 THOMAS SIM LEE TER",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207727405",
            "telephone_number": "240-713-1789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5507 THOMAS SIM LEE TER",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207727405",
            "telephone_number": "240-713-1789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMES",
        "first_name": "AZAH",
        "middle_name": "JULLIET",
        "name_prefix": "Mrs.",
        "credential": "CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-13",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "DC",
            "license": "RN1053037",
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Midwife",
            "state": "MD",
            "license": "R273479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AZAH",
            "last_name": "NFON JULLIET",
            "prefix": "MISS",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Upper Marlboro, MD

Sources for this page

Verify at the official NPI Registry.