Clara Ifeoma Onyeiwu, NP-FAMILY

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R142679 Issued in MD

Practice address

Krystal Medical Associates, 12150 Annapolis Rd
Suite 100
Glenndale, MD 20769

Phone

(301) 464-7601

NPI assigned

Oct 31, 2018

Last updated

Aug 26, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Audacity of Hope LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Laurel, MD
  • NPI 1851188338

  DC

  Medicare reassignment NPD
• Visionary Medical & Mental Healthcare, Inc.

  • Primary Care Clinic/Center
  • Upper Marlboro, MD
  • NPI 1710841564

  DC

  Medicare reassignment NPD
• Audacity of Hope LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Laurel, MD
  • NPI 1770379810
  NPD
• Visionary Medical & Mental Healthcare, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Upper Marlboro, MD
  • NPI 1952102808
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1540944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1023585676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 PATTINGHAM CT",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207722990",
            "telephone_number": "301-464-7601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "KRYSTAL MEDICAL ASSOCIATES, 12150 ANNAPOLIS RD",
            "address_2": "SUITE 100",
            "city": "GLENNDALE",
            "state": "MD",
            "postal_code": "20769",
            "telephone_number": "301-464-7601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONYEIWU",
        "first_name": "CLARA",
        "middle_name": "IFEOMA",
        "name_prefix": "Mrs.",
        "credential": "NP-FAMILY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-31",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R142679",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R142679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NP-FAMILY",
            "identifier": "R142679",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Phillip H Omohundro, M.D.
• Rachael Omole
• Parfait Eloundou Onana
• Nneka Onuzulike, PMHNP-BC
• Nwaehihie Harrison Onyeaghala, MD
• Pamela Fru Tange Oriaifo
• Patience Orji
• Patricia Adaobi Oladunni Oshodi, M.D.
• Vanessa Osula, DNP, RN, AGPCNP-BC
• Isaac Osei Owusu, NP

• Psychiatric/Mental Health Nurse Practitioner in Glenn Dale, MD
• Providers in Glenn Dale, MD by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2025; 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.

Verify at the official NPI Registry.