Utopia Medical LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

UTOPIA MEDICAL LLC

Practice address

14503 Main St RM a
Upper Marlboro, MD 20772-3010

Phone

(240) 375-0384

NPI assigned

Nov 27, 2024

Organization subpart

No

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

Authorized official

Name

Rebecca Etta NgassaNPI 1427820265

Title

Owner

Phone

(240) 640-5233

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rebecca Etta Ngassa, CRNP, DNP

  • Family Nurse Practitioner
  • Upper Marlboro, MD
  • NPI 1427820265

  DC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1732665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734307200000",
    "number": "1720804347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4015 WALES LN",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207727997",
            "telephone_number": "240-375-0384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14503 MAIN ST RM A",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207723010",
            "telephone_number": "240-375-0384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UTOPIA MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-27",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A",
        "authorized_official_last_name": "NGASSA",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "ETTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-640-5233"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Upper Marlboro Family Dentistry
• US Coast Guard
• D'Andre Robert Vaden, BEHAVIOR TECHNICIAN
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• Nikothia Bruce Valentine-Barber, LCPC
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• Michelle Vastola

• Family Nurse Practitioner in Upper Marlboro, MD
• Providers in Upper Marlboro, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.