Individual provider Active NPI

Abrianna Lea Broomes, CRNP, FNP

  • Family Nurse Practitioner
  • Waldorf, MD
National Provider Identifier
1750144382
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R239243 Issued in MD
Practice address
3064 Waldorf Market PL
Waldorf, MD 20603-4871
Phone
(877) 355-1795
NPI assigned
Feb 5, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R239243 MD Primary

Addresses

Primary practice location

3064 Waldorf Market PL
Waldorf, MD 20603-4871

Mailing address

8970 Cottongrass St
Waldorf, MD 20603-4952
Phone (301) 705-7671

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240409003972 DC Practitioner - Nurse Practitioner 7214375237 Reassigns benefits to 1 organization
I20240415000539 MD Practitioner - Nurse Practitioner 7214375237 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Urgent Care LLC CurrentSince Apr 7, 2024 Accepting new patients
Medstar Urgent Care LLC Current Accepting new patients
Whole Body Healthcare, LLC Family CurrentSince Feb 6, 2025 Accepting new patients
Medstar Urgent Care, LLC CurrentSince Apr 7, 2024 Accepting new patients

Locations

3007 Tilden St NW
Ste 5N
Washington, DC 20008

3914 Hickory Ave
Baltimore, MD 21211
Phone (410) 662-4476

6317 York Rd
Baltimore, MD 21212
Phone (443) 777-6890

3064 Waldorf Market Pl
Waldorf, MD 20603
Phone (301) 932-5960

11915 Georgia Ave
Wheaton, MD 20902
Phone (301) 942-4505

Organizations & group practices 4

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": "1707091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1750144382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8970 COTTONGRASS ST",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206034952",
            "telephone_number": "301-705-7671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3064 WALDORF MARKET PL",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206034871",
            "telephone_number": "877-355-1795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOMES",
        "first_name": "ABRIANNA",
        "middle_name": "LEA",
        "name_prefix": "Ms.",
        "credential": "CRNP, FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-05",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R239243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waldorf, MD

Sources for this page

Verify at the official NPI Registry.