Individual provider Active NPI

Josephine Iredia Otasowie

  • Psychiatric/Mental Health Nurse Practitioner
  • Rosedale, MD
National Provider Identifier
1043190416
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R251963 Issued in MD
Practice address
1215 Rustic Ave
Rosedale, MD 21237-2930
Phone
(443) 559-7075
NPI assigned
Sep 5, 2025
Last updated
Sep 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R251963 MD Primary

Addresses

Primary practice location

1215 Rustic Ave
Rosedale, MD 21237-2930

Mailing address

1215 Rustic Ave
Rosedale, MD 21237-2930
Phone (443) 559-7075

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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

Enrollment IDStateProvider typePAC IDDetails
I20251210003238 MD Practitioner - Nurse Practitioner 7012401755 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Resonance Behavioral Health ServicesGroup PAC ID 5991194813, 12 clinicians

Practice addresses (Care Compare)

5136 Belair Rd
Apt B
Baltimore, MD 21206-5159
Phone (443) 500-2458

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R251963MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Resonance Behavioral Health Services Psychiatric/Mental Health CurrentSince Nov 2, 2025 Accepting new patients
Rightchoice Behavioral Health Services LLC Psychiatric/Mental Health PastSince Sep 8, 2025 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1757030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757030400000",
    "number": "1043190416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 RUSTIC AVE",
            "city": "ROSEDALE",
            "state": "MD",
            "postal_code": "212372930",
            "telephone_number": "443-559-7075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 RUSTIC AVE",
            "city": "ROSEDALE",
            "state": "MD",
            "postal_code": "212372930",
            "telephone_number": "443-559-7075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTASOWIE",
        "first_name": "JOSEPHINE",
        "middle_name": "IREDIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-05",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R251963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosedale, MD

Sources for this page

Verify at the official NPI Registry.