Individual provider Active NPI

Maureen B Fama, APRN

  • Adult Psychiatric/Mental Health Registered Nurse
  • Silver Spring, MD
National Provider Identifier
1922195049
Registry record updated Mar 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X
License
RO48887 Issued in MD
Practice address
14809 Pennfield Cir
Silver Spring, MD 20906
Phone
(301) 989-0143
NPI assigned
Oct 9, 2006
Last updated
Mar 1, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X RO48887 MD
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X RO48887 MD Primary

Addresses

Primary practice location

14809 Pennfield Cir
Silver Spring, MD 20906

Mailing address

14629 Peach Orchard Rd
Silver Spring, MD 20905-4437
Phone (301) 989-0143

Other practice location 1

13415 Connecticut Ave
Suite#105
Silver Spring, MD 20906-2910
Phone (301) 989-0143

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RO48887MDMDAdult Psychiatric/Mental Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551398400000",
    "number": "1922195049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14629 PEACH ORCHARD RD",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209054437",
            "telephone_number": "301-989-0143",
            "fax_number": "301-989-1670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14809 PENNFIELD CIR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "20906",
            "telephone_number": "301-989-0143"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13415 Connecticut Ave",
            "address_2": "Suite#105",
            "address_purpose": "LOCATION",
            "city": "Silver Spring",
            "state": "MD",
            "postal_code": "209062910",
            "country_code": "US",
            "telephone_number": "301-989-0143",
            "fax_number": "301-989-1670",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAMA",
        "first_name": "MAUREEN",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-09",
        "last_updated": "2019-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "MD",
            "license": "RO48887",
            "primary": false
        },
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "MD",
            "license": "RO48887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2019; 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.