Active NPI
Sky Infusions and Medspa, LLC
- Adult Health Nurse Practitioner
- Largo, MD
National Provider Identifier
1750160925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- 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, LLC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 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
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.