Individual provider Active NPI

Gloria Nwankwo, CRNP

  • Family Nurse Practitioner
  • Rockville, MD
National Provider Identifier
1740890862
Registry record updated Mar 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R203758 Issued in MD
Practice address
9909 Medical Center Dr
Rockville, MD 20850-6361
Phone
(240) 864-6007
NPI assigned
Aug 4, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F10190086 MD
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X R203758 MD Primary
Primary Care Nurse Practitioner 363LP2300X F10190086 MD

Addresses

Primary practice location

9909 Medical Center Dr
Rockville, MD 20850-6361

Mailing address

9861 Dellcastle Rd
Montgomery Village, MD 20886-1324
Phone (240) 620-6743

Other practice location 1

9861 Dellcastle Rd
Montgomery Village, MD 20886-1324
Phone (240) 620-6743

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20220425000013 DC Practitioner - Nurse Practitioner 1355418583 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R203758MDMDFamily Nurse Practitioner
F10190086MDMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emglohealth Services LLC CurrentSince Aug 1, 2020 Accepting new patients
Adventist Physician Services, Inc. Multi-Specialty CurrentSince Apr 1, 2022 Accepting new patients

Locations

820 W Diamond Ave
Ste 500
Gaithersburg, MD 20878

820 W Diamond Ave
Gaithersburg, MD 20878
Phone (301) 315-3030

9909 Medical Center Dr
Rockville, MD 20850
Phone (240) 864-6000

9901 Medical Center Dr
Rockville, MD 20850
Phone (301) 279-6000

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.

NPI Registry JSON

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

{
    "created_epoch": "1596499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773100800000",
    "number": "1740890862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9861 DELLCASTLE RD",
            "city": "MONTGOMERY VILLAGE",
            "state": "MD",
            "postal_code": "208861324",
            "telephone_number": "240-620-6743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9909 MEDICAL CENTER DR",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506361",
            "telephone_number": "240-864-6007"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9861 Dellcastle Rd",
            "address_purpose": "LOCATION",
            "city": "Montgomery Village",
            "state": "MD",
            "postal_code": "208861324",
            "country_code": "US",
            "telephone_number": "240-620-6743",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NWANKWO",
        "first_name": "GLORIA",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-04",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "F10190086",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R203758",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MD",
            "license": "F10190086",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.