Integrated Medical Clinic
NPI 1487289005ActiveOrganization· Nurse Practitioner, Family· Lanham, MD
Nurse Practitioner, Family in Lanham, Maryland, registered in NPPES in March 2020. The authorized official on file is Paige Smith, Practice Adminstrator. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1487289005 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 4, 2020 |
| Last updated in NPPES | Dec 28, 2020 |
| Certified by provider | Dec 28, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (DC) |
|---|
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