Individual provider Active NPI

Malvis N Tamon, DNP, APRN, FNP-BC

  • Family Nurse Practitioner
  • Frederick, MD
National Provider Identifier
1679059794
Registry record updated Apr 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R186855 Issued in MD
Practice address
300 Ballenger Center Dr
Frederick, MD 21703-7096
Phone
(301) 682-7213
NPI assigned
Jul 11, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R186855 MD Primary

Addresses

Primary practice location

300 Ballenger Center Dr
Frederick, MD 21703-7096

Mailing address

121 Congressional LN Ste 204
Rockville, MD 20852-1542
Phone (301) 917-4139

Other practice location 1

121 Congressional Ln Ste 204
Rockville, MD 20852-1542
Phone (301) 917-4139

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 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
I20201207000174 DC Practitioner - Nurse Practitioner 1153732649 Reassigns benefits to 2 organizations
I20260506003392 MD Practitioner - Nurse Practitioner 1153732649 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minuteclinic LLCGroup PAC ID 6709850241, 576 clinicians

Practice addresses (Care Compare)

10095 Ward Rd
Dunkirk Mktplace
Dunkirk, MD 20754-2731
Phone (866) 389-2727

121 Congressional LN
Suite 204
Rockville, MD 20852-1542
Phone (301) 917-4139

300 Ballenger Ctr Dr
Frederick, MD 21703-7096
Phone (866) 389-2727

5414 Rotary Ave
New Market, MD 21774-6117
Phone (866) 389-2727

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R186855MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
LJ Medical LLC CurrentSince Sep 1, 2020 Accepting new patients

Locations

5550 Friendship Blvd
Ste 360
Chevy Chase, MD 20815
Phone (240) 241-0420

121 Congressional Ln
Ste 204
Rockville, MD 20852
Phone (301) 545-1000

6244 Montrose Rd
Rockville, MD 20852
Phone (301) 917-4139

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DHEHDD/Endpoint/DHEHDD
  • Direct secure messaging: malvis.tamon@lml-md.direct.office.nextgen.com
  • FHIR API: https://api.platform.athenahealth.com/10253/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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": "1531267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775779200000",
    "number": "1679059794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 CONGRESSIONAL LN STE 204",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208521542",
            "telephone_number": "301-917-4139",
            "fax_number": "301-338-6463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 BALLENGER CENTER DR",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217037096",
            "telephone_number": "301-682-7213"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "121 Congressional Ln Ste 204",
            "address_purpose": "LOCATION",
            "city": "Rockville",
            "state": "MD",
            "postal_code": "208521542",
            "country_code": "US",
            "telephone_number": "301-917-4139",
            "fax_number": "301-338-6463",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAMON",
        "first_name": "MALVIS",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-11",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R186855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

Verify at the official NPI Registry.