Veronica David, NP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

R164252 Issued in MD

Practice address

4701 Melbourne PL
College Park, MD 20740-2540

Phone

(301) 476-3161

NPI assigned

Nov 24, 2020

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

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19581/brand/1/csg/1/fhir/r4

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.

• Assured Access Medical Associates Inc.

  • General Practice Physician
  • Greenbelt, MD
  • NPI 1720623242

  DC

  Medicare reassignment NPD
• Express Healthcare, LLC

  • Urgent Care Clinic/Center
  • Berwyn Heights, MD
  • NPI 1598994733

  DC

  Medicare reassignment NPD
• Med-Ped Health Care LLC

  • Family Medicine Physician
  • Berwyn Heights, MD
  • NPI 1336296730

  DC

  Medicare reassignment NPD
• Express Healthcare, LLC

  • Urgent Care Clinic/Center
  • College Park, MD
  • NPI 1447605712
  NPD (past)

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

{
    "created_epoch": "1606176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606176000000",
    "number": "1811591431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 MELBOURNE PL",
            "city": "COLLEGE PARK",
            "state": "MD",
            "postal_code": "207402540",
            "telephone_number": "301-476-3161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 MELBOURNE PL",
            "city": "COLLEGE PARK",
            "state": "MD",
            "postal_code": "207402540",
            "telephone_number": "301-476-3161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVID",
        "first_name": "VERONICA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-24",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MD",
            "license": "R164252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Creed Medical Group Inc
• Mary A Czan, R.N.
• Jire Dada
• Tunde Damilola
• Osman S Dauda
• Jessica De Grasse, CRNP
• Travis Deberry, LGPC
• Loida Del Rio Lopez, MD
• Letitia Delaine, PHARMD
• James S Delehant

• Primary Care Nurse Practitioner in College Park, MD
• Providers in College Park, MD by specialty
• Primary Care Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.