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Organization Active NPI

Eziacess NP Housecalls LLC

  • Family Nurse Practitioner
  • Temple Hills, MD
National Provider Identifier
1710497516
Registry record updated Apr 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R155157 Issued in MD
Legal business name
EZIACESS NP HOUSECALLS LLC
Doing business as
EziAcess
Practice address
2320 Iverson St Ste 100
Temple Hills, MD 20748-6801
Phone
(848) 256-0360
NPI assigned
Oct 5, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2022

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

Authorized official

Name
Lucia Forbin, NP
Title
Nurse Practitioner
Phone
(301) 520-4135

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QA0505X R155157 MD
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X R155157 MD Primary

Addresses

Primary practice location

2320 Iverson St Ste 100
Temple Hills, MD 20748-6801

Mailing address

14511 Layhill Rd
Silver Spring, MD 20906-1914

Other practice location 1

14511 Layhill Rd
Silver Spring, MD 20906-1914
Phone (301) 520-4135

Other identifiers 1

IdentifierTypeStateIssuer
14037773OtherMDCAQH PROVIDER

Other names 1

  • EziAcess Doing business as

National Provider Directory

National Provider Directory

Locations

2320 Iverson St
Ste 100
Temple Hills, MD 20748
Phone (301) 520-4135

NPI Registry JSON

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

{
    "created_epoch": "1507161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650585600000",
    "number": "1710497516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14511 LAYHILL RD",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209061914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 IVERSON ST STE 100",
            "city": "TEMPLE HILLS",
            "state": "MD",
            "postal_code": "207486801",
            "telephone_number": "848-256-0360"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14511 Layhill Rd",
            "address_purpose": "LOCATION",
            "city": "Silver Spring",
            "state": "MD",
            "postal_code": "209061914",
            "country_code": "US",
            "telephone_number": "301-520-4135",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EZIACESS NP HOUSECALLS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-05",
        "last_updated": "2022-04-22",
        "certification_date": "2022-04-22",
        "status": "A",
        "authorized_official_last_name": "FORBIN",
        "authorized_official_first_name": "LUCIA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "301-520-4135",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "MD",
            "license": "R155157",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R155157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH PROVIDER",
            "identifier": "14037773",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EziAcess",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Temple Hills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.