MERCY URGENT CARE CLINIC LLC (NPI# 1528318896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528318896 |
Entity Type | Organization |
Organization Name | MERCY URGENT CARE CLINIC LLC |
Practice Address |
2257 Bel Pre Rd Silver Spring MD 20906-2204 |
Practice Telephone | 3018076957 |
Mailing Telephone | 3014608000 |
Mailing Fax Number | 3012004610 |
Enumeration Date | 2012-09-14 |
Last Update Date | 2013-05-16 |
Authorized Official Name | PRUDENCE A MANCHO (OWNER) |
Authorized Official Telephone | 3018076957 |
Authorized Official Credential | FNP-BC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | R149483 | MD | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2011002215 | MD | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MD | 336538700 | 05 |
Street Address |
2257 BEL PRE RD |
City | SILVER SPRING |
State | MD |
Zip Code | 20906-2204 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255894739 | Haika Yonah Mndambi | Home Health Aide | 2414 Sun Valley Circle, Silver Spring, MD 20906 | 2019-04-10 |
1194205153 | Khadijah Keita | Pharmacy Technician | 1512 Woodwell Rd, Silver Spring, MD 20906 | 2018-08-20 |
1093233314 | Elizabeth Darroch | Physical Therapist | 3305 North Leisure World Blvd, Silver Spring, MD 20906 | 2017-09-07 |
1043699937 | Danielle Leslie Porter | Registered Nurse | 2601 Camelback Ln Apt 3, Silver Spring, MD 20906 | 2015-05-25 |
1821418591 | Bertha Nyagaya Nyagaya-wojnarski | Nurse Practitioner | 14511 Layhill Road, Silver Spring, MD 20906 | 2014-04-22 |
1467875989 | Gifter Assa | Home Health Aide | 14225 Grand Pre Rd Apt 202, Silver Spring, MD 20906 | 2014-02-04 |
1649601923 | Global H Care | Home Health | 3319 Weeping Willow Dr Apt 12, Silver Spring, MD 20906 | 2013-12-11 |
1750715074 | Jessica I Uagbor Roblin | Physical Therapist | 3305 N Leisure World Blvd Ste 200, Silver Spring, MD 20906 | 2013-08-22 |
1922431428 | Dental Center of Aspen Hill, LLC | Dentist | 13957 Connecticut Avenue, Suite 302, Silver Spring, MD 20906 | 2013-08-20 |
1831535772 | Solomon Wachira | Home Health Aide | 2527 Glenalla Ave, Apt 102, Silver Spring, MD 20906 | 2013-05-20 |
Find all providers in zip 20906 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639779432 | Daniel A Mesfin | Nurse Practitioner | 14528 Fairdale Rd, Silver Spring, MD 20905-6526 | 2020-10-30 |
1265049324 | Johanna Catherine Mckenna | Nurse Practitioner | 10750 Columbia Pike Ste 320, Silver Spring, MD 20901-4453 | 2020-09-23 |
1639793763 | Sonya Zhe Chang | Nurse Practitioner | 10203 Brunett Ave, Silver Spring, MD 20901-2004 | 2020-06-04 |
1568095966 | Kadiatu G Kamara | Nurse Practitioner | 13700 Beauwick Ct, Silver Spring, MD 20906-3005 | 2020-02-14 |
1598305294 | Jemila Kemal | Nurse Practitioner | 4104 Elby St, Silver Spring, MD 20906-4438 | 2020-01-10 |
1831736933 | Andrea Adenike Coker | Nurse Practitioner | 10230 New Hampshire Ave Ste 103, Silver Spring, MD 20903-1422 | 2019-12-08 |
1235770330 | Joanna M King | Nurse Practitioner | 3455 Castle Way, Silver Spring, MD 20904-4767 | 2019-10-01 |
1528614245 | Mary Warrah Tarawalie | Nurse Practitioner | 3607 Pear Tree Ct Apt 23, Silver Spring, MD 20906-5506 | 2019-08-18 |
1851857577 | Beena Zachariah | Nurse Practitioner | 2739 Sweet Clover Ct, Silver Spring, MD 20904-1884 | 2019-02-19 |
1477019834 | Leslyn Joseph | Nurse Practitioner | 14208 Grand Pre Rd Apt 301, Silver Spring, MD 20906-2889 | 2019-02-11 |
Find all providers in SILVER SPRING |
City | SILVER SPRING |
Zip Code | 20906 |
Please comment or provide details below to improve the information on MERCY URGENT CARE CLINIC LLC.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.