OLD GREENBELT FAMILY HEALTH
NPI 1174331243
Nurse Practitioner - Family in Greenbelt, MD
About Old Greenbelt Family Health NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OLD GREENBELT FAMILY HEALTH (NPI 1174331243), doing business as Old Green Belt Family Health, is a healthcare organization registered as a family in Greenbelt, Maryland and active in the NPI registry since December 2024. The organization holds a CLIA Waiver certificate valid through September 23, 2027 and lists Julia Gabriel, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 2
Group Practice 1
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 21D2237403
Old Greenbelt Family Health · Greenbelt, MDOther Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Old Greenbelt Family Health's NPI number?
The NPI number for Old Greenbelt Family Health is 1174331243. It was assigned to this organization in the NPPES registry on December 20, 2024. The provider is doing business as Old Green Belt Family Health.
Where is Old Greenbelt Family Health located?
Old Greenbelt Family Health is located at 115 Centerway Ste 104, Greenbelt, MD 20770. The listed phone number is (240) 424-0697.
What is Old Greenbelt Family Health's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Does Old Greenbelt Family Health hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 21D2237403) is associated with this NPI, valid through September 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Old Greenbelt Family Health was last updated on December 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.
# Old Greenbelt Family Health · NPI 1174331243
Family organization in Greenbelt, Maryland. Organization record, active in the CMS NPPES registry since December 20, 2024.
## Identity
- **NPI:** 1174331243 (Entity type: Organization)
- **Enumerated:** December 20, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Also known as:** OLD GREEN BELT FAMILY HEALTH (Doing Business As); OLD GREENBELT FAMILY HEALTH (Doing Business As)
- **Organization subpart:** Yes (part of Old Greenbelt Family Health)
- **Authorized official:** Julia Gabriel, OWNER
## Practice location
- **Address:** 115 CENTERWAY STE 104, Greenbelt, MD 20770-1836
- **Phone:** (240) 424-0697
## Record status
- **NPPES last updated:** December 20, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1174331243) · Data from the CMS NPPES public registry.