Vivien Anjoh Fonjong, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

CRNP134269 Issued in MD

Practice address

9710 Patuxent Woods Dr Ste 200
Columbia, MD 21046-3458

Phone

(443) 899-9525

NPI assigned

Oct 9, 2019

Last updated

Oct 9, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Vivien Anjoh Fonjong Professional name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• P. Pham and J. Briggs LLC

  dba TruCare Urgent Care

  • Urgent Care Clinic/Center
  • Frederick, MD
  • NPI 1285934570
  Medicare reassignment NPD
• PNJ Primary Care LLC

  dba TruCare Primary Care

  • Primary Care Clinic/Center
  • Frederick, MD
  • NPI 1801194709
  Medicare reassignment NPD
• HCR Manorcare Medical Services of Florida LLC

  dba Heartland Care Partners

  • Nurse Practitioner
  • Toledo, OH
  • NPI 1386750420
  NPD
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1570579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570579200000",
    "number": "1740822865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9710 PATUXENT WOODS DR STE 200",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210463458",
            "telephone_number": "443-899-9525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9710 PATUXENT WOODS DR STE 200",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210463458",
            "telephone_number": "443-899-9525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONJONG",
        "first_name": "VIVIEN",
        "middle_name": "ANJOH",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-09",
        "last_updated": "2019-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "CRNP134269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VIVIEN",
            "last_name": "FONJONG",
            "middle_name": "ANJOH",
            "credential": "FNP-BC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Annette G Folgueras, M.D.
• Fon & Sons, LLC (Loveland Health Services)
• Linsey Fon
• Yvonne Fonge
• Elizabeth Nyuite Fongha
• Ale Fonseca
• Foot and Ankle Pain Center LLC
• Foot and Ankle Pain Center LLC
• Foot and Ankle Specialists of the Mid-Atlantic, LLC
• Bradley James Foote, BA

• Family Nurse Practitioner in Columbia, MD
• Providers in Columbia, 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 Oct 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.