DIVERSITY HEALTH CLINIC, LLC
NPI 1780286732
Nurse Practitioner - Primary Care in Silver Spring, MD

Active since November 13, 2020
15101 CENTERGATE DR, SILVER SPRING, MD 20905(301) 793-4761(800) 519-7417 Get Directions Write a Review

NPPES record last updated: November 13, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Diversity Health Clinic, Llc NPPES

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

DIVERSITY HEALTH CLINIC, LLC (NPI 1780286732) is a healthcare organization registered as a primary care in Silver Spring, Maryland and active in the NPI registry since November 2020. The organization lists Akukeng W. Mba, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1780286732
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameDIVERSITY HEALTH CLINIC, LLC
Location Address15101 CENTERGATE DRSilver Spring, MD 20905-5714
Mailing Address15101 Centergate DrSilver Spring, MD 20905-5714 · (301) 793-4761 · Fax (800) 519-7417
Fax(800) 519-7417
Organization SubpartNo
Authorized OfficialAkukeng W. MbaNurse Practitioner · (301) 793-4761
Enumeration DateNovember 13, 2020
NPPES CertifiedNovember 11, 2020
NPI 1780286732 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
15101 CENTERGATE DR, Silver Spring, MD 20905

Other Names 1

Doing Business AsDiversity Health Clinic, Llc

Other Identifiers 1

OtherR185268MD · License

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

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 Diversity Health Clinic, LLC's NPI number?

The NPI number for Diversity Health Clinic, LLC is 1780286732. It was assigned to this organization in the NPPES registry on November 13, 2020.

Where is Diversity Health Clinic, LLC located?

Diversity Health Clinic, LLC is located at 15101 Centergate Dr, Silver Spring, MD 20905. The listed phone number is (301) 793-4761.

What is Diversity Health Clinic, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Diversity Health Clinic, LLC was last updated on November 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.