Individual provider Active NPI

Pauline Uzoamaka Muoneke

  • Adult Health Nurse Practitioner
  • Lanham, MD
National Provider Identifier
1972859619
Registry record updated Jul 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
R149303 Issued in MD
Practice address
9831 Greenbelt Rd Ste 102
Lanham, MD 20706-6211
Phone
(301) 552-4100
Fax
(301) 552-1700
NPI assigned
Jul 31, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X R149303 MD Primary
Gerontology Nurse Practitioner 363LG0600X R149303 MD

Addresses

Primary practice location

9831 Greenbelt Rd Ste 102
Lanham, MD 20706-6211

Mailing address

9831 Greenbelt Rd Ste 102
Lanham, MD 20706-6211
Phone (301) 552-4100

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20130801000309 DC Practitioner - Nurse Practitioner 4082855143 Reassigns benefits to 1 organization
I20160308000119 MD Practitioner - Nurse Practitioner 4082855143

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hebrew Home of Greater Washington IncGroup PAC ID 2264324060, 4 clinicians

Practice addresses (Care Compare)

6121 Montrose Rd
Rockville, MD 20852-4803
Phone (301) 816-8377

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R149303MDMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hebrew Home of Greater Washington Inc CurrentSince Mar 26, 2013 Accepting new patients
Hebrew Home of Greater Washington Inc CurrentSince Mar 26, 2013 Accepting new patients
Hebrew Home of Greater Washington Past Accepting new patients
Raymond Nwadiuko MD,PA Past Accepting new patients

Locations

6121 Montrose Rd
Rockville, MD 20852
Phone (301) 770-8377

Organizations & group practices 4

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": "1343692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343692800000",
    "number": "1972859619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9831 GREENBELT RD STE 102",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207066211",
            "telephone_number": "301-552-4100",
            "fax_number": "301-552-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9831 GREENBELT RD STE 102",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207066211",
            "telephone_number": "301-552-4100",
            "fax_number": "301-552-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUONEKE",
        "first_name": "PAULINE",
        "middle_name": "UZOAMAKA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-31",
        "last_updated": "2012-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MD",
            "license": "R149303",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MD",
            "license": "R149303",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lanham, MD

Sources for this page

Verify at the official NPI Registry.