Christiana N Ikome, NP, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R189380 Issued in MD

Practice address

600 Reisterstown Rd Ste 302
Pikesville, MD 21208-5106

Phone

(301) 792-1433

Fax

(443) 241-7250

NPI assigned

Oct 22, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in MD2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Thrive Behavioral Health, LLCGroup PAC ID 3476777947, 62 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, 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 and National Provider Directory roles.

• Resilience Behavioral Health, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Pikesville, MD
  • NPI 1508514779
  Medicare reassignment NPD Authorized official
• Thrive Behavioral Health, LLC

  • Community/Behavioral Health Agency
  • Rosedale, MD
  • NPI 1053733378
  Medicare reassignment Care Compare group NPD
• Health Express of Maryland Inc

  • Family Nurse Practitioner
  • Randallstown, MD
  • NPI 1356805154
  Medicare reassignment NPD
• Symphony Medical Associates, PA

  • Specialist
  • Baltimore, MD
  • NPI 1528142759
  Medicare reassignment NPD
• Rose of Sharon Home Care LLC

  • Home Health Agency
  • Pikesville, MD
  • NPI 1306791926
  NPD Authorized official
• Onpoint Mental Health Tele and Wellness Services LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Bowie, MD
  • NPI 1245959840
  NPD
• Thrive Behavioral Health, LLC

  • Community/Behavioral Health Agency
  • Silver Spring, MD
  • NPI 1306396163
  NPD
• Thrive Behavioral Health, LLC

  • Community/Behavioral Health Agency
  • Baltimore, MD
  • NPI 1790156362
  NPD

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

{
    "created_epoch": "1445472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665360000000",
    "number": "1043682685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10823 SHERWOOD HILL RD",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175826",
            "telephone_number": "301-792-1433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 REISTERSTOWN RD STE 302",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212085106",
            "telephone_number": "301-792-1433",
            "fax_number": "443-241-7250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10823 Sherwood Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Owings Mills",
            "state": "MD",
            "postal_code": "211175826",
            "country_code": "US",
            "telephone_number": "301-792-1433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IKOME",
        "first_name": "CHRISTIANA",
        "middle_name": "N",
        "name_prefix": "Ms.",
        "credential": "NP, PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-22",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R189380",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R189380",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MD",
            "license": "R189380",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R189380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nadifa Idriss
• Joy J Ignacio, RN
• Ijaymd Mental Health and Wellness
• Oladepo Ijiwole, HHA
• Matama Juma Ikangaa
• Linette Iloh, RN
• Mosopefoluwa Ilufoye, M.D.
• Imisio Healthcare Services
• Nam In
• Infinite Health & Wellness LLC

• Psychiatric/Mental Health Nurse Practitioner in Pikesville, MD
• Providers in Pikesville, 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 Oct 10, 2022; 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.