Individual provider Active NPI

Vivian Uzoma, DNP, CRNP, FNP-BC

  • Family Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1962041855
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R185036 Issued in MD
Practice address
1900 E Northern Pkwy Ste 208
Baltimore, MD 21239-2110
Phone
(410) 864-1800
Fax
(410) 864-1717
NPI assigned
Dec 26, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2025

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 R185036 MD Primary

Addresses

Primary practice location

1900 E Northern Pkwy Ste 208
Baltimore, MD 21239-2110

Mailing address

1900 E Northern Pkwy Ste 208
Baltimore, MD 21239-2110
Phone (410) 864-1800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 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
I20200130002725 MD Practitioner - Nurse Practitioner 9830525401 Reassigns benefits to 4 organizations
I20210426002939 DC Practitioner - Nurse Practitioner 9830525401 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1900 E Northern Pkwy
Suite 208
Baltimore, MD 21239-2113
Phone (410) 864-1800

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R185036MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Victory Springs, Inc CurrentSince Dec 22, 2019 Accepting new patients
Optimize Medical Group CurrentSince Aug 1, 2024 Accepting new patients
Minuteclinic LLC Family CurrentSince Jan 20, 2021 Accepting new patients
Post Acute Health Care Services LLC Past Accepting new patients

Locations

2601 Riva Rd
Annapolis, MD 21401
Phone (410) 571-2090

10095 Ward Rd
Dunkirk, MD 20754
Phone (410) 257-0191

1051 Brightseat Rd
Landover, MD 20785
Phone (240) 487-4400

5230 Campbell Blvd
Nottingham, MD 21236
Phone (410) 933-9632

19 Walker Ave
Ste 203
Pikesville, MD 21208
Phone (410) 526-1490

1314 Bedford Ave
Ste 113
Pikesville, MD 21208
Phone (443) 868-7956

7955 Tuckerman Ln
Rockville, MD 20854
Phone (301) 299-3717

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EHCCDD/Endpoint/EHCCDD

Organizations & group practices 5

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": "1577318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742774400000",
    "number": "1962041855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 E NORTHERN PKWY STE 208",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212392110",
            "telephone_number": "410-864-1800",
            "fax_number": "410-864-1717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 E NORTHERN PKWY STE 208",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212392110",
            "telephone_number": "410-864-1800",
            "fax_number": "410-864-1717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UZOMA",
        "first_name": "VIVIAN",
        "name_prefix": "Dr.",
        "credential": "DNP, CRNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-26",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R185036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.