Active NPI
Mercy Health Care and Clinic
- Primary Care Nurse Practitioner
- Largo, MD
National Provider Identifier
1952033011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- Legal business name
- MERCY HEALTH CARE AND CLINIC
- Practice address
- 1400 Mercantile LN Ste 204
Largo, MD 20774-5352 - Phone
- (240) 476-3951
- NPI assigned
- Jun 28, 2022
- Last updated
- Nov 21, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Chinyenum Otuya, NP
- Title
- Owner
- Phone
- (240) 476-3951
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | NU | ||
| Primary Care Nurse Practitioner | 363LP2300X | NU | Primary |
Addresses
Primary practice location
1400 Mercantile LN Ste 204
Largo, MD 20774-5352
Mailing address
9500 Medical Center Dr Ste 262
Largo, MD 20774-3709
Phone (240) 476-3951
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Registered Nurse
- Temple Hills, MD
- NPI 1376105882
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656374400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1763683200000",
"number": "1952033011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9500 MEDICAL CENTER DR STE 262",
"city": "LARGO",
"state": "MD",
"postal_code": "207743709",
"telephone_number": "240-476-3951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 MERCANTILE LN STE 204",
"city": "LARGO",
"state": "MD",
"postal_code": "207745352",
"telephone_number": "240-476-3951"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MERCY HEALTH CARE AND CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2022-06-28",
"last_updated": "2025-11-21",
"certification_date": "2025-11-21",
"status": "A",
"authorized_official_last_name": "OTUYA",
"authorized_official_first_name": "CHINYENUM",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "240-476-3951",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Largo, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.