Patricia Gladys Kpolie, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R178625 Issued in MD

Practice address

12355 Herrington Manor Dr
Silver Spring, MD 20904-1677

Phone

(301) 593-1315

Fax

(301) 681-4699

NPI assigned

Feb 11, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, CA2 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

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Community Connections IncGroup PAC ID 7315930831, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Community Connections Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Washington, DC
  • NPI 1407872575
  Medicare reassignment Care Compare group NPD
• We Care Home Services LLC

  • In Home Supportive Care Agency
  • Washington, DC
  • NPI 1750020046
  NPD Authorized official

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

{
    "created_epoch": "1423612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423612800000",
    "number": "1780075770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12355 HERRINGTON MANOR DR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209041677",
            "telephone_number": "240-755-1924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12355 HERRINGTON MANOR DR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209041677",
            "telephone_number": "301-593-1315",
            "fax_number": "301-681-4699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KPOLIE",
        "first_name": "PATRICIA",
        "middle_name": "GLADYS",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-11",
        "last_updated": "2015-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R178625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohammed Koumai Traore
• Kelly Vanessa Kounte Fokou Epse Siemadji
• Sheila Mae Talido Kourakos, MSN, APRN, FNP-C
• Reine Carine Koussokmak Betea
• Andra Olimpia Kovalovsky, M.D.
• KPP Healthcare Solutions LLC
• Selma Kraft
• Emona Kraja, DDS
• Derek A Kram, M.D.
• Bonnie June Kramer, M.AC, L.AC

• Family Nurse Practitioner in Silver Spring, MD
• Providers in Silver Spring, 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 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.