Active NPI
Victoria Haleem Schwarzenberg, CRNP
- Pediatric Nurse Practitioner
- Montgomery Village, MD
National Provider Identifier
1720074933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 19990628
- Practice address
- 18506 Office Park Dr
Montgomery Village, MD 20886-0585 - Phone
- (301) 840-0840
- Fax
- (301) 740-3113
- NPI assigned
- Sep 22, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | R100748 | MD | |
| Pediatric Nurse Practitioner | 363LP0200X | 19990628 | MD | Primary |
Addresses
Primary practice location
18506 Office Park Dr
Montgomery Village, MD 20886-0585
Mailing address
18506 Office Park Dr
Montgomery Village, MD 20886-0585
Phone (301) 840-0840
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 794503500 | Medicaid | MD |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19990628 | MD | MD | Pediatric Nurse Practitioner |
| R100748 | MD | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Roomika T Baig MD LLC | Past | Accepting new patients |
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.
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Pediatrics Physician
- Frederick, MD
- NPI 1316550494
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329177600000",
"number": "1720074933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18506 OFFICE PARK DR",
"city": "MONTGOMERY VILLAGE",
"state": "MD",
"postal_code": "208860585",
"telephone_number": "301-840-0840",
"fax_number": "301-740-3113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18506 OFFICE PARK DR",
"city": "MONTGOMERY VILLAGE",
"state": "MD",
"postal_code": "208860585",
"telephone_number": "301-840-0840",
"fax_number": "301-740-3113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHWARZENBERG",
"first_name": "VICTORIA",
"middle_name": "HALEEM",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-22",
"last_updated": "2012-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "MD",
"license": "R100748",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "MD",
"license": "19990628",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "794503500",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Montgomery Village, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.