Active NPI
Virtual Access Care LLC
- Primary Care Nurse Practitioner
- Laurel, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- Legal business name
- VIRTUAL ACCESS CARE LLC
- Practice address
- 14502 Greenview Dr Ste 545
Laurel, MD 20708-3287 - Phone
- (240) 473-3007
- Fax
- (949) 695-2194
- NPI assigned
- Apr 28, 2023
- 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
- Mrs. Amelia Y Abban, CRNP
- Title
- Owner
- Phone
- (240) 533-1182
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Primary Care Clinic/Center | 261QP2300X | |||
| Primary Care Nurse Practitioner | 363LP2300X | Primary |
Addresses
Primary practice location
14502 Greenview Dr Ste 545
Laurel, MD 20708-3287
Mailing address
14502 Greenview Dr Ste 545
Laurel, MD 20708-3287
Phone (240) 473-3007
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 21D2285363 | Virtual Access Care LLC | Certificate of waiver | Jul 10, 2027 |
National Provider Directory
National Provider DirectoryLocations
14502 Greenview Dr
Ste 545
Laurel, MD 20708
Phone (240) 473-3007
14502 Greenview Dr
Ste 500L21
Laurel, MD 20708
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682640000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1702339200000",
"number": "1790473593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14502 GREENVIEW DR STE 545",
"city": "LAUREL",
"state": "MD",
"postal_code": "207083287",
"telephone_number": "240-473-3007",
"fax_number": "949-695-2194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14502 GREENVIEW DR STE 545",
"city": "LAUREL",
"state": "MD",
"postal_code": "207083287",
"telephone_number": "240-473-3007",
"fax_number": "949-695-2194"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VIRTUAL ACCESS CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-04-28",
"last_updated": "2023-12-12",
"certification_date": "2023-12-07",
"status": "A",
"authorized_official_last_name": "ABBAN",
"authorized_official_first_name": "AMELIA",
"authorized_official_middle_name": "Y",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "240-533-1182",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "CRNP"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laurel, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.