NPIMap

Organization Active NPI

Kesa Health Care LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Hanover, MD
National Provider Identifier
1043134125
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
KESA HEALTH CARE LLC
Practice address
11 Briars Knoll Way
Hanover, MD 21076-1500
Phone
(443) 883-2295
NPI assigned
Aug 10, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2026

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

Authorized official

Name
Vida Martey, PMHNPNPI 1265198162
Title
Owner
Phone
(443) 883-2295

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

11 Briars Knoll Way
Hanover, MD 21076-1500

Mailing address

11 Briars Knoll Way
Hanover, MD 21076-1500
Phone (443) 883-2295

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1786320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786320000000",
    "number": "1043134125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 BRIARS KNOLL WAY",
            "city": "HANOVER",
            "state": "MD",
            "postal_code": "210761500",
            "telephone_number": "443-883-2295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 BRIARS KNOLL WAY",
            "city": "HANOVER",
            "state": "MD",
            "postal_code": "210761500",
            "telephone_number": "443-883-2295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KESA HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-10",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A",
        "authorized_official_last_name": "MARTEY",
        "authorized_official_first_name": "VIDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-883-2295",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanover, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.