Active NPI
Holistic Whole Health LLC
- Family Nurse Practitioner
- Upper Marlboro, MD
National Provider Identifier
1750854758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- HOLISTIC WHOLE HEALTH LLC
- Practice address
- 9560 Marlboro Pike Ste 202
Upper Marlboro, MD 20772-3769 - Phone
- (301) 792-3547
- Fax
- (833) 974-2405
- NPI assigned
- Jan 2, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Natalie Tukpah, FNP
- Title
- Owner/Practitioner
- Phone
- (301) 875-2607
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
9560 Marlboro Pike Ste 202
Upper Marlboro, MD 20772-3769
Mailing address
9560 Marlboro Pike Ste 202
Upper Marlboro, MD 20772-3769
Phone (301) 792-3547
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
9560 Marlboro Pike
Ste 202
Uppr Marlboro, MD 20772
Phone (301) 599-9550
Interoperability endpoints
- https://api.platform.athenahealth.com/22691/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Primary Care Nurse Practitioner
- Glenn Dale, MD
- NPI 1417624313
DC, Single Specialty
-
- Family Nurse Practitioner
- Alexandria, VA
- NPI 1295928570
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546387200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1639267200000",
"number": "1750854758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9560 MARLBORO PIKE STE 202",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "207723769",
"telephone_number": "301-792-3547",
"fax_number": "833-974-2405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9560 MARLBORO PIKE STE 202",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "207723769",
"telephone_number": "301-792-3547",
"fax_number": "833-974-2405"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOLISTIC WHOLE HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-01-02",
"last_updated": "2021-12-12",
"certification_date": "2021-12-12",
"status": "A",
"authorized_official_last_name": "TUKPAH",
"authorized_official_first_name": "NATALIE",
"authorized_official_title_or_position": "OWNER/PRACTITIONER",
"authorized_official_telephone_number": "301-875-2607",
"authorized_official_credential": "FNP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Upper Marlboro, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.