Tri-State Family Medicine & Behavioral Health, LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

R208314 Issued in MD

Legal business name

TRI-STATE FAMILY MEDICINE & BEHAVIORAL HEALTH, LLC

Practice address

17833 Fair Lady Way
Darnestown, MD 20874-2289

Phone

(304) 777-9039

NPI assigned

May 2, 2017

Organization subpart

No

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

Authorized official

Name

Carmen Sigley

Title

Aprn

Phone

(304) 777-9039

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1493683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612224000000",
    "number": "1992231609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17833 FAIR LADY WAY",
            "city": "DARNESTOWN",
            "state": "MD",
            "postal_code": "208742289",
            "telephone_number": "304-777-9039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17833 FAIR LADY WAY",
            "city": "DARNESTOWN",
            "state": "MD",
            "postal_code": "208742289",
            "telephone_number": "304-777-9039"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 N Frederick Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "Gaithersburg",
            "state": "MD",
            "postal_code": "208772507",
            "country_code": "US",
            "telephone_number": "304-777-9039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TRI-STATE FAMILY MEDICINE & BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-02",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A",
        "authorized_official_last_name": "SIGLEY",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_title_or_position": "APRN",
        "authorized_official_telephone_number": "304-777-9039"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R208314",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "76278",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bright Day Home Health Care Inc
• Shikha Nigam Deva, MD
• Maya Magdalena Miloski, FDNP
• Rick George Schnatz, PHARM.D.
• Carmen Sigley, PMHNP

• All providers in Darnestown, MD
• Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; 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.