Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

BLOSSOM PRIMARY CARE SERVICES LLC
NPI 1568375822
Nurse Practitioner - Psychiatric/Mental Health in Washington, DC

Q: What is Blossom Primary Care Services LLC's NPI number?

The NPI number for Blossom Primary Care Services LLC is 1568375822. It was assigned to this organization in the NPPES registry on September 25, 2026.

Q: What is Blossom Primary Care Services LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since September 25, 2026

3849 PENNSYLVANIA AVE SE, WASHINGTON, DC 20020(240) 645-7616 Get Directions Write a Review

NPPES record added: September 25, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

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About Blossom Primary Care Services Llc NPPES

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

BLOSSOM PRIMARY CARE SERVICES LLC (NPI 1568375822) is a healthcare organization registered as a psychiatric/mental health in Washington, District Of Columbia and active in the NPI registry since September 2026. The organization lists Odelle Tsaya Kamani, Owner, as its authorized official.

NPPES Registry Identity

NPI1568375822

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameBLOSSOM PRIMARY CARE SERVICES LLC

Location Address3849 PENNSYLVANIA AVE SEWashington, DC 20020-1309

Mailing Address12113 Sand Wedge LnUpper Marlboro, MD 20772-7973 · (240) 645-7616

Phone(240) 645-7616

Organization SubpartNo

Authorized OfficialOdelle Tsaya KamaniOwner · (240) 645-7616

Enumeration DateSeptember 25, 2026

NPPES CertifiedSeptember 25, 2026

✔ NPI 1568375822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

3849 PENNSYLVANIA AVE SE, Washington, DC 20020

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

DERVAN HEALTHCARE SERVICES LLC

Clinic/Center (Primary Care)

3849 PENNSYLVANIA AVE SE
WASHINGTON, DC 20020

District of Columbia (301) 728-3783

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 Blossom Primary Care Services LLC's NPI number?

The NPI number for Blossom Primary Care Services LLC is 1568375822. It was assigned to this organization in the NPPES registry on September 25, 2026.

Where is Blossom Primary Care Services LLC located?

Blossom Primary Care Services LLC is located at 3849 Pennsylvania Ave SE, Washington, DC 20020. The listed phone number is (240) 645-7616.

What is Blossom Primary Care Services LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Blossom Primary Care Services LLC was last updated on September 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days 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.