CONFIDENT CARE MEDICAL LLC NPI 1942762570

NPI Information

NPI: 1942762570
Provider Name: CONFIDENT CARE MEDICAL LLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 09D2181947

Address:
1331 H ST NW STE 200
WASHINGTON, DC
ZIP 20005
Phone: (404) 287-7589
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CONFIDENT CARE MEDICAL LLC is a family nurse practitioner in Washington, DC. CONFIDENT CARE MEDICAL LLC NPI is 1942762570. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1331 H ST NW STE 200
WASHINGTON, DC
ZIP 20005-706
Phone: (404) 287-7589

The provider's authorized official is Mary Rockefeller .
The authorized official title is Fnp and has the following contact phone number (404) 287-7589.

The CLIA number assigned to this NPI record is 09D2181947 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/2/2019 and was last updated on 7/3/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	013655992	MEDICAID	DISTRICT OF COLUMBIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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