Active NPI
M&M Abundant Life Urgent Care & Mental Health Clinic LLC
- Family Nurse Practitioner
- Riverdale, MD
National Provider Identifier
1669353900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- M&M ABUNDANT LIFE URGENT CARE & MENTAL HEALTH CLINIC LLC
- Practice address
- 6200 Baltimore Ave
Riverdale, MD 20737-1054 - Phone
- (786) 788-5080
- Fax
- (786) 788-5084
- NPI assigned
- Sep 11, 2025
- Last updated
- Sep 11, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Maureen N Osegbe
- Title
- Owner
- Phone
- (786) 788-5080
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
6200 Baltimore Ave
Riverdale, MD 20737-1054
Mailing address
6200 Baltimore Ave
Riverdale, MD 20737-1054
Phone (786) 788-5080
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Bowie, MD
- NPI 1508416777
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1757548800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1669353900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6200 BALTIMORE AVE",
"city": "RIVERDALE",
"state": "MD",
"postal_code": "207371054",
"telephone_number": "786-788-5080",
"fax_number": "786-788-5084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6200 BALTIMORE AVE",
"city": "RIVERDALE",
"state": "MD",
"postal_code": "207371054",
"telephone_number": "786-788-5080",
"fax_number": "786-788-5084"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "M&M ABUNDANT LIFE URGENT CARE & MENTAL HEALTH CLINIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-09-11",
"last_updated": "2025-09-11",
"certification_date": "2025-09-11",
"status": "A",
"authorized_official_last_name": "OSEGBE",
"authorized_official_first_name": "MAUREEN",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "786-788-5080"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverdale, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.