Active NPI
Florence A Nwana, CRNP-PMH
- Psychiatric/Mental Health Nurse Practitioner
- Laurel, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- R128581
- Practice address
- 13639 Baltimore Ave
Laurel, MD 20707-5095 - Phone
- (301) 604-4830
- Fax
- (301) 604-4929
- NPI assigned
- Sep 13, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | R128581 | MD | Primary |
Addresses
Primary practice location
13639 Baltimore Ave
Laurel, MD 20707-5095
Mailing address
14601 Tallyrand Trail
Laurel, MD 20707-6943
Phone (443) 803-5391
Other practice location 1
3455 Wilkens Ave Ste 205
Baltimore, MD 21229-5265
Phone (443) 803-5391
Other practice location 2
2480 Roxbury Mills Rd #10, Cooksville, Maryland 21738
Cooksville, MD 21738
Phone (410) 281-7801
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 422556200 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
13639 Baltimore Ave
Laurel, MD 20707-5095
Phone (301) 604-4830
6609 Reisterstown Rd
Suite 201
Baltimore, MD 21215-2634
Phone (301) 604-4830
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R128581 | MD | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Suuna CHI Healthcare Services, LLC | Current | Accepting new patients | |
| Suuna CHI Healthcare Services, LLC | Current | Accepting new patients | |
| Suuna CHI Healthcare Services, LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Impact Behavioral Healthcare LLC | Current | Accepting new patients | |
| Premier Health Care LLC | Current | Accepting new patients | |
| Premier Health Care, LLC | Current | Accepting new patients | |
| Suuna CHI Healthcare Services, LLC | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
6609 Reisterstown Rd
Ste 201
Baltimore, MD 21215
Phone (301) 604-4830
3455 Wilkens Ave
Ste 205
Baltimore, MD 21229
Phone (410) 242-3762
13639 Baltimore Ave
Laurel, MD 20707
Phone (301) 604-4830
12073 Tech Rd
Ste B
Silver Spring, MD 20904
Phone (240) 396-5873
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Behavioral Neurology & Neuropsychiatry Physician
- Baltimore, MD
- NPI 1295334506
-
- Psychiatric/Mental Health Nurse Practitioner
- Laurel, MD
- NPI 1528586112
DC
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Baltimore, MD
- NPI 1588379648
-
- Behavioral Neurology & Neuropsychiatry Physician
- Baltimore, MD
- NPI 1144820200
-
- Behavioral Neurology & Neuropsychiatry Physician
- Laurel, MD
- NPI 1396353678
-
- Internal Medicine Physician
- Clinton, MD
- NPI 1528538758
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682294400000",
"number": "1023443652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14601 TALLYRAND TRAIL",
"city": "LAUREL",
"state": "MD",
"postal_code": "207076943",
"telephone_number": "443-803-5391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13639 BALTIMORE AVE",
"city": "LAUREL",
"state": "MD",
"postal_code": "207075095",
"telephone_number": "301-604-4830",
"fax_number": "301-604-4929"
}
],
"practiceLocations": [
{
"address_1": "3455 Wilkens Ave Ste 205",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212295265",
"country_code": "US",
"telephone_number": "443-803-5391",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2480 Roxbury Mills Rd #10, Cooksville, Maryland 21738",
"address_purpose": "LOCATION",
"city": "Cooksville",
"state": "MD",
"postal_code": "21738",
"country_code": "US",
"telephone_number": "410-281-7801",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NWANA",
"first_name": "FLORENCE",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "CRNP-PMH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-13",
"last_updated": "2023-04-24",
"certification_date": "2023-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MD",
"license": "R128581",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "422556200",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Laurel, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.