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PRIMAL HEALTH FAMILY PRACTICE
NPI 1013470772
Nurse Practitioner - Family in Waldorf, MD

Active since April 10, 2019
3261 OLD WASHINGTON RD STE 2020, WALDORF, MD 20602(240) 923-0614 Get Directions Write a Review

NPPES record last updated: October 31, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 31, 2023, May 1, 2023, Aug 23, 2019 and 1 more (4 updates tracked since 2019).

About Primal Health Family Practice NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRIMAL HEALTH FAMILY PRACTICE (NPI 1013470772) is a healthcare organization registered as a family in Waldorf, Maryland and active in the NPI registry since April 2019. The organization lists Nnegadi Tataw, Ceo, as its authorized official.

NPPES Registry Identity

NPI1013470772
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NamePRIMAL HEALTH FAMILY PRACTICE
Location Address3261 OLD WASHINGTON RD STE 2020Waldorf, MD 20602-3231
Mailing Address3261 Old Washington Rd Ste 2020Waldorf, MD 20602-3231 · (240) 425-2762
Phone(240) 923-0614
Organization SubpartNo
Authorized OfficialNnegadi TatawCeo · (240) 425-2762
Enumeration DateApril 10, 2019
Last NPPES UpdateOctober 31, 20234 updates tracked since enumeration
NPPES CertifiedOctober 31, 2023
✔ NPI 1013470772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
3261 OLD WASHINGTON RD STE 2020, Waldorf, MD 20602
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEVENSON COUNSELING SERVICES. LLC
Counselor (Mental Health)
3261 OLD WASHINGTON RD STE 2020
WALDORF, MD 20602
Charles County (301) 535-4318
SABRENA MONTGOMERY LCSW-C, LCSW
Social Worker (Clinical)
3261 OLD WASHINGTON RD STE 2020
WALDORF, MD 20602
Charles County (240) 349-2507
DR. DONNA RICE EDD, CCC-SLP
Speech-Language Pathologist
3261 OLD WASHINGTON RD STE 2020
WALDORF, MD 20602
Charles County (301) 996-1155
INGRID IVES-PINKNEY NCC, LCPC
Counselor (Professional)
3261 OLD WASHINGTON RD STE 2020
WALDORF, MD 20602
Charles County (240) 240-2383
DEIRDRE CULLUM
Counselor (Professional)
3261 OLD WASHINGTON RD STE 2020
WALDORF, MD 20602
Charles County (240) 435-2797
REFLECTIVE MINDS MENTAL WELLNESS, LLC
Psychiatry & Neurology (Psychiatry)
3261 OLD WASHINGTON RD STE 2020
WALDORF, MD 20602
Charles County (301) 478-8609
MRS. BRIANNA JONES
Doula
3261 OLD WASHINGTON RD STE 2020
WALDORF, MD 20602
Charles County (202) 710-2166
SOUTHERN MARYLAND COUNSELING & COACHING, LLC
Social Worker (Clinical)
3261 OLD WASHINGTON RD STE 2020
WALDORF, MD 20602
Charles County (240) 435-4708

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Primal Health Family Practice's NPI number?

The NPI number for Primal Health Family Practice is 1013470772. It was assigned to this organization in the NPPES registry on April 10, 2019.

Where is Primal Health Family Practice located?

Primal Health Family Practice is located at 3261 Old Washington Rd Ste 2020, Waldorf, MD 20602. The listed phone number is (240) 923-0614.

What is Primal Health Family Practice's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Primal Health Family Practice was last updated on October 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.