Active NPI
Obialunanma Melidem
- Medical-Surgical Registered Nurse
- Upper Marlboro, MD
National Provider Identifier
1710506126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical-Surgical Registered Nurse
- License
- RN1009067
- Practice address
- 13903 Floyd St
Upper Marlboro, MD 20772-6844 - Phone
- (240) 988-2393
- NPI assigned
- Apr 15, 2020
- 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 |
|---|---|---|---|---|
| Medical-Surgical Registered Nurse | 163WM0705X | RN1009067 | DC | Primary |
Addresses
Primary practice location
13903 Floyd St
Upper Marlboro, MD 20772-6844
Mailing address
13903 Floyd St
Upper Marlboro, MD 20772-6844
Phone (240) 988-2393
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN1009067 | DC | MD | Medical-Surgical Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586908800000",
"number": "1710506126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13903 FLOYD ST",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "207726844",
"telephone_number": "240-988-2393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13903 FLOYD ST",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "207726844",
"telephone_number": "240-988-2393"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELIDEM",
"first_name": "OBIALUNANMA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-15",
"last_updated": "2020-04-15",
"certification_date": "2020-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "163WM0705X",
"taxonomy_group": "",
"desc": "Registered Nurse, Medical-Surgical",
"state": "DC",
"license": "RN1009067",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Upper Marlboro, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.