Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Blossom Primary Care Services LLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1568375822

Blossom Primary Care Services LLC provides Psychiatric/Mental Health Nurse Practitioner services in Washington, District of Columbia. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3849 Pennsylvania Ave SE
Washington, DC 20020-1309
Phone: (240) 645-7616
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1568375822
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Odelle Kamani — Owner · (240) 645-7616
NPI enumeratedSeptember 25, 2026
Last updated in NPPESSeptember 25, 2026
Certification dateSeptember 25, 2026
Mailing address12113 Sand Wedge Ln, Upper Marlboro, MD 20772-7973

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