Organization Active NPI

Sky Infusions and Medspa, LLC

  • Adult Health Nurse Practitioner
  • Largo, MD
National Provider Identifier
1750160925
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
Legal business name
SKY INFUSIONS AND MEDSPA, LLC
Practice address
1300 Mercantile LN Ste 129-9
Largo, MD 20774-5327
Phone
(301) 291-5957
NPI assigned
Sep 26, 2023
Organization subpart
Yes
Parent organization
SKY INFUSIONS AND MEDSPA, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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

Authorized official

Name
Lorita Nkechi Nnaka
Title
NP
Phone
(301) 456-4143

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LA2200X Primary

Addresses

Primary practice location

1300 Mercantile LN Ste 129-9
Largo, MD 20774-5327

Mailing address

10713 Castleton Turn
Upper Marlboro, MD 20774-1449
Phone (301) 456-4143

Other names 1

  • Skyivtherapy Doing business as

National Provider Directory

National Provider Directory
Part of
Sky Infusions and Medspa LLC

Locations

1300 Mercantile Ln
Ste 1299
Largo, MD 20774
Phone (301) 291-5957

NPI Registry JSON

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

{
    "created_epoch": "1695686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698883200000",
    "number": "1750160925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10713 CASTLETON TURN",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207741449",
            "telephone_number": "301-456-4143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 MERCANTILE LN STE 129-9",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "207745327",
            "telephone_number": "301-291-5957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKY INFUSIONS AND MEDSPA, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SKY INFUSIONS AND MEDSPA, LLC",
        "enumeration_date": "2023-09-26",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A",
        "authorized_official_last_name": "NNAKA",
        "authorized_official_first_name": "LORITA",
        "authorized_official_middle_name": "NKECHI",
        "authorized_official_title_or_position": "NP",
        "authorized_official_telephone_number": "301-456-4143"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Skyivtherapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Skyivtherapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Largo, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.