Mansfield Kaseman Health Clinic, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

AC000765 Issued in MD

Legal business name

MANSFIELD KASEMAN HEALTH CLINIC, LLC

Practice address

9420 Key West Ave Ste 400
Rockville, MD 20850-6327

Phone

(301) 917-6800

Fax

(301) 917-6810

NPI assigned

Oct 24, 2013

Organization subpart

Yes

Parent organization

COMMUNITY REACH OF MONTGOMERY COUNTYAs reported in NPPES

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

Authorized official

Name

Sarah Basehart

Title

Executive Director

Phone

(301) 917-6806

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Leslie Jean Boylan, CRNP

  • Family Nurse Practitioner
  • Rockville, MD
  • NPI 1700937075

  DC

  Medicare reassignment NPD
• Nancy Hartman, CRNP-ADULT

  • Adult Health Nurse Practitioner
  • Rockville, MD
  • NPI 1073871687

  DC

  Medicare reassignment NPD
• Mark Vincent Tolentino, NP

  • Family Nurse Practitioner
  • Rockville, MD
  • NPI 1437783388

  DC

  Medicare reassignment NPD
• Stephanie K. Wright, FNP, PNP

  • Family Nurse Practitioner
  • Rockville, MD
  • NPI 1942414297

  DC

  Medicare reassignment NPD
• Korboi N Evans

  • Orthopaedic Surgery Physician
  • Silver Spring, MD
  • NPI 1063611663
  NPD (past)
• Tariq Ali Nayfeh, MD

  • Orthopaedic Surgery Physician
  • Winchester, VA
  • NPI 1215988217
  NPD (past)

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

{
    "created_epoch": "1382572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732233600000",
    "number": "1831527183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9420 KEY WEST AVE STE 400",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506327",
            "telephone_number": "301-917-6800",
            "fax_number": "301-917-6810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9420 KEY WEST AVE STE 400",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506327",
            "telephone_number": "301-917-6800",
            "fax_number": "301-917-6810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANSFIELD KASEMAN HEALTH CLINIC, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMUNITY REACH OF MONTGOMERY COUNTY",
        "enumeration_date": "2013-10-24",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A",
        "authorized_official_last_name": "BASEHART",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "301-917-6806"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MD",
            "license": "AC000765",
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Esha Manoj
• Ian Manor
• Foday Mansaray
• Koni Mansaray
• Yusufu Mansaray
• Diana Mansoor
• Ivyana Mantlow
• Sounitta Manto
• Britney Manu
• Mavis Manu

• Clinic/Center in Rockville, MD
• Providers in Rockville, MD by specialty
• Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; 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.

Verify at the official NPI Registry.