Active NPI
Adorn Medical Care Services
- Family Nurse Practitioner
- Washington, DC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN963620
- Legal business name
- ADORN MEDICAL CARE SERVICES
- Practice address
- 4514 Benning Rd SE
Washington, DC 20019-5149 - Phone
- (202) 800-6500
- NPI assigned
- Aug 16, 2017
- Last updated
- May 29, 2024
- 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
- Elizabeth Vebangsi
- Title
- Director
- Phone
- (240) 486-2783
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN963620 | DC | Primary |
Addresses
Primary practice location
4514 Benning Rd SE
Washington, DC 20019-5149
Mailing address
110801 Bishops Content Rd
Bowie, MD 20721-2570
Phone (301) 792-0816
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 551020100 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Adorn Medical Care Services
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Family Medicine Physician
- Washington, DC
- NPI 1790559151
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Washington, DC
- NPI 1386893386
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502841600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1716940800000",
"number": "1831615384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110801 BISHOPS CONTENT RD",
"city": "BOWIE",
"state": "MD",
"postal_code": "207212570",
"telephone_number": "301-792-0816"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4514 BENNING RD SE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200195149",
"telephone_number": "202-800-6500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADORN MEDICAL CARE SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2017-08-16",
"last_updated": "2024-05-29",
"certification_date": "2024-05-29",
"status": "A",
"authorized_official_last_name": "VEBANGSI",
"authorized_official_first_name": "ELIZABETH",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "240-486-2783"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "DC",
"license": "RN963620",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "551020100",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.