Emilienne Kwi

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F02210275 Issued in MD

Practice address

12011 Glenn Dale Blvd
Glenn Dale, MD 20769-9032

Phone

(940) 337-4245

NPI assigned

Mar 9, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1520553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613606400000",
    "number": "1750884458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12011 GLENN DALE BLVD",
            "city": "GLENN DALE",
            "state": "MD",
            "postal_code": "207699032",
            "telephone_number": "940-337-4245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12011 GLENN DALE BLVD",
            "city": "GLENN DALE",
            "state": "MD",
            "postal_code": "207699032",
            "telephone_number": "940-337-4245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWI",
        "first_name": "EMILIENNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-09",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "873086",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "F02210275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jalpa Kotadia
• Krystal Medical Associates LLC
• Charrissa Kwoh Kuyuh
• Glenna Kwame-Greene
• Claudia Kwi
• Agnes Maureen Banboye Lainjo Fonyuy
• Oluwabusayo Lana, DDS
• Estefany Larios, LCSW-C
• Larry W. Bryant DDS, PC
• Nicole C Lawson, OT

• Family Nurse Practitioner in Glenn Dale, MD
• Providers in Glenn Dale, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2021; 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.