Diversity Health Clinic, LLC
NPI 1780286732ActiveOrganization· Nurse Practitioner, Primary Care· Silver Spring, MD
Nurse Practitioner, Primary Care in Silver Spring, Maryland, registered in NPPES in November 2020. The authorized official on file is Akukeng W. Mba, CRNP, Nurse Practitioner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1780286732 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 13, 2020 |
| Last updated in NPPES | Nov 13, 2020 |
| Certified by provider | Nov 11, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Primary Care Primary | 363LP2300X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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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