Elizabeth Obi

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R142632 Issued in MD

Practice address

12515 Old Gunpowder Road
Beltsville, MD 20705

Phone

(301) 908-2116

NPI assigned

Mar 4, 2014

Last updated

Mar 4, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Washington Medical Clinic LLCGroup PAC ID 3870803737, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: elizabeth.obi.1@14054.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/14054/brand/1/csg/1/fhir/r4
• FHIR API: https://fhir4.healow.com/fhir/r4/BAFGCA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Washington Medical Clinic, LLC

  • Family Medicine Physician
  • Silver Spring, MD
  • NPI 1427444108

  DC

  Medicare reassignment Care Compare group NPD Authorized official
• Maryland Medical First P.a.

  • Internal Medicine Physician
  • Baltimore, MD
  • NPI 1013005016
  Medicare reassignment NPD
• Washington Medical Clinic Inc

  • Family Medicine Physician
  • Silver Spring, MD
  • NPI 1417700717
  NPD (past) Authorized official
• Kurup Wound Care, Inc.

  • Family Medicine Physician
  • Hyattsville, MD
  • NPI 1861652646
  NPD
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1393891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393891200000",
    "number": "1891110623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12515 OLD GUNPOWDER ROAD",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "20705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12515 OLD GUNPOWDER ROAD",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "20705",
            "telephone_number": "301-908-2116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBI",
        "first_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-04",
        "last_updated": "2014-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R142632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Yieku Nyibeche
• Fnu Ndime Constance Nzunge
• Katherine O'Shea
• Anthony Obasi
• Joesie Oben
• Odichimma Obiajulu
• Nkechi Obijiofor
• Occupational Health Centers of the Southwest P.a.
• Odele Sooa Homes Inc
• Xavier Oden

• Family Nurse Practitioner in Beltsville, MD
• Providers in Beltsville, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.