Individual provider Active NPI

Alba Cogliandolo, FNP-C

  • Family Nurse Practitioner
  • Gaithersburg, MD
National Provider Identifier
1881321016
Registry record updated Aug 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R165471 Issued in MD
Practice address
806 W Diamond Ave Ste 110
Gaithersburg, MD 20878-1478
Phone
(301) 515-2901
NPI assigned
Aug 8, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R165471 MD Primary

Addresses

Primary practice location

806 W Diamond Ave Ste 110
Gaithersburg, MD 20878-1478

Mailing address

806 W Diamond Ave Ste 110
Gaithersburg, MD 20878-1478
Phone (301) 515-2901

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 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
I20230104001345 DC Practitioner - Nurse Practitioner 5395115562 Reassigns benefits to 3 organizations
I20230330000235 MD Practitioner - Nurse Practitioner 5395115562 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Menocal Medical Services PA Current Accepting new patients
Privia Medical Group, LLC CurrentSince Feb 17, 2023 Accepting new patients
Privia Care Center LLC CurrentSince Jun 10, 2023 Accepting new patients
Privia Care Center LLC CurrentSince Feb 17, 2023 Accepting new patients
Pankaj Lal, M.D., PC CurrentSince Mar 1, 2025 Accepting new patients
Privia Medical Group, LLC CurrentSince Feb 17, 2023 Accepting new patients

Locations

4910 Massachusetts Ave NW
Ste 114
Washington, DC 20016
Phone (202) 244-0812

301 Saint Paul St
Ste 409
Baltimore, MD 21202
Phone (410) 659-7041

110 Baughmans Ln
Ste 140
Frederick, MD 21702
Phone (240) 215-1138

818 W Diamond Ave
Ste 240
Gaithersburg, MD 20878
Phone (301) 569-7135

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065

Organizations & group practices 6

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": "1659916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659916800000",
    "number": "1881321016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 W DIAMOND AVE STE 110",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208781478",
            "telephone_number": "301-515-2901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 W DIAMOND AVE STE 110",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208781478",
            "telephone_number": "301-515-2901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COGLIANDOLO",
        "first_name": "ALBA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-08",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R165471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

Verify at the official NPI Registry.