Organization Active NPI

Quality Healthcare Clinics LLC

  • Family Nurse Practitioner
  • Waldorf, MD
National Provider Identifier
1932817145
Registry record updated Nov 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
QUALITY HEALTHCARE CLINICS LLC
Practice address
3200 Crain Hwy
Waldorf, MD 20603-4841
Phone
(240) 646-2083
NPI assigned
Nov 8, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2022

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

Authorized official

Name
Electa Awanga, FNP
Title
Ceo
Phone
(240) 646-2083

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

3200 Crain Hwy
Waldorf, MD 20603-4841

Mailing address

3200 Crain Hwy
Waldorf, MD 20603-4841
Phone (240) 646-2083

National Provider Directory

National Provider Directory

Locations

3200 Crain Hwy
Waldorf, MD 20603
Phone (240) 300-4585

NPI Registry JSON

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

{
    "created_epoch": "1667865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667865600000",
    "number": "1932817145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 CRAIN HWY",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206034841",
            "telephone_number": "240-646-2083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 CRAIN HWY",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206034841",
            "telephone_number": "240-646-2083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY HEALTHCARE CLINICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-08",
        "last_updated": "2022-11-08",
        "certification_date": "2022-11-08",
        "status": "A",
        "authorized_official_last_name": "AWANGA",
        "authorized_official_first_name": "ELECTA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "240-646-2083",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waldorf, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2022; 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.