Individual provider Active NPI

Zuwena Mohamed Iddi

  • Family Nurse Practitioner
  • Silver Spring, MD
National Provider Identifier
1831447747
Registry record updated Dec 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R231314 Issued in MD
Practice address
8403 Colesville Rd Ste 1100
Silver Spring, MD 20910-6346
Phone
(443) 383-9300
Fax
(855) 866-8710
NPI assigned
Aug 27, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R231314 MD
Family Nurse Practitioner 363LF0000X R231314 MD Primary

Addresses

Primary practice location

8403 Colesville Rd Ste 1100
Silver Spring, MD 20910-6346

Mailing address

909 Ridgebrook Rd Ste 300
Sparks, MD 21152-9477
Phone (443) 383-9300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 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

Enrollment IDStateProvider typePAC IDDetails
I20211117000200 MD Practitioner - Nurse Practitioner 2365831146 Reassigns benefits to 3 organizations
I20211117000285 DC Practitioner - Nurse Practitioner 2365831146 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

906 Milestone Dr
Silver Spring, MD 20904-2770
Phone (240) 644-4404

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Arts, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R231314MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
District Healthcare Services, LLC Current Accepting new patients
Viewpoint Wellness LLC Psychiatric/Mental Health CurrentSince Oct 1, 2021 Accepting new patients
Lartey Wellness Group LLC CurrentSince Sep 25, 2023 Accepting new patients
Optimize Medical Group CurrentSince Oct 19, 2021 Accepting new patients
Community Clinic, Inc CurrentSince Nov 1, 2023 Accepting new patients
Consonant Healing Medical Associates Nurse Practitioner CurrentSince Nov 14, 2022 Accepting new patients
Breaking Silos in Medicine LLC CurrentSince Jun 1, 2024 Accepting new patients
Community Clinic, Inc. Family CurrentSince Nov 1, 2023 Accepting new patients
Post Acute Health Care Services LLC Past Accepting new patients

Locations

2478 Alabama Ave SE
Washington, DC 20020
Phone (202) 816-9448

1217 W Fayette St
Baltimore, MD 21223
Phone (410) 726-8945

919 Seton Dr
Cumberland, MD 21502
Phone (301) 777-0622

313 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 761-1222

1051 Brightseat Rd
Landover, MD 20785
Phone (240) 487-4400

8101 Sandy Spring Rd
Ste 250
Laurel, MD 20707
Phone (202) 355-8587

7 Sudbrook Ln
Pikesville, MD 21208
Phone (410) 205-8440

1314 Bedford Ave
Ste 113
Pikesville, MD 21208
Phone (443) 868-7956

1232 Race Rd
Ste 403
Rosedale, MD 21237
Phone (480) 878-7806

8630 Fenton St
Ste 1200
Silver Spring, MD 20910
Phone (301) 585-1250

8403 Colesville Rd
Ste 1100
Silver Spring, MD 20910
Phone (301) 905-7762

8665 Georgia Ave
Silver Spring, MD 20910
Phone (301) 340-7525

909 Ridgebrook Rd
Ste 300
Sparks Glencoe, MD 21152
Phone (443) 483-9300

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: zuwena.iddi@ccicares.eclinicaldirectplus.com

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1346025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702598400000",
    "number": "1831447747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 RIDGEBROOK RD STE 300",
            "city": "SPARKS",
            "state": "MD",
            "postal_code": "211529477",
            "telephone_number": "443-383-9300",
            "fax_number": "855-866-8710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8403 COLESVILLE RD STE 1100",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209106346",
            "telephone_number": "443-383-9300",
            "fax_number": "855-866-8710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IDDI",
        "first_name": "ZUWENA",
        "middle_name": "MOHAMED",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-27",
        "last_updated": "2023-12-15",
        "certification_date": "2023-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R231314",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R231314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

Verify at the official NPI Registry.