First Response Doctors Clinic

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

FIRST RESPONSE DOCTORS CLINIC

Doing business as

Lum Mercy Maximuangu

Practice address

11303 Amherst Ave Ste 2
Silver Spring, MD 20902-4600

Phone

(240) 604-2949

NPI assigned

Mar 22, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Lum Mercy Maximuangu, BC-NP

Title

Chief Medical Officer, BC-NP

Phone

(240) 604-2949

Specialties & licenses 5

Addresses

Other names 1

• Lum Mercy Maximuangu Doing business as

Locations

Practitioners 1

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

• Michael Mengesha Agonafir, M.D

  • Internal Medicine Physician
  • Silver Spring, MD
  • NPI 1093094146
  NPD (past)

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

{
    "created_epoch": "1711065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711065600000",
    "number": "1861242067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3214 BIRCHMEDE DR",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210422302",
            "telephone_number": "240-604-2949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11303 AMHERST AVE STE 2",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209024600",
            "telephone_number": "240-604-2949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST RESPONSE DOCTORS CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-22",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A",
        "authorized_official_last_name": "MAXIMUANGU",
        "authorized_official_first_name": "LUM",
        "authorized_official_middle_name": "MERCY",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER, BC-NP",
        "authorized_official_telephone_number": "240-604-2949",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "BC-NP"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Acute Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "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": [
        {
            "organization_name": "Lum Mercy Maximuangu",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Donna Marie Firer, LCSW-C
• Lense Ayele Firesa I
• Don Leonard Firmani, LCSW LCSWC
• Kashif Firozvi, MD
• First Fill Counseling
• First Royal Health Care Services, LLC
• First Silver Care LLC
• Linda Fischetti, RN
• Jessica Lynn Fishburn, FNP
• Marc Fisher, D.D.S.

• Primary Care Nurse Practitioner in Silver Spring, MD
• Providers in Silver Spring, 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 Mar 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.