Habibatu Kemoh Sesay, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R203765 Issued in MD

Practice address

4 Gravenhurst CT
North Potomac, MD 20878-3448

Phone

(240) 476-2106

NPI assigned

Oct 11, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 3

Medicare fee-for-service enrollment

Enrolled in MD, DC2 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, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Supreme Healthcare and Wellness Services LLCGroup PAC ID 5799161790, 2 clinicians

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 and National Provider Directory roles.

• Supreme Healthcare & Wellness Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Germantown, MD
  • NPI 1215670047

  DC, Psychiatric/Mental Health

  Medicare reassignment Care Compare group NPD
• Johns Hopkins University

  dba Jhu - Anesthesia Pain MGMT

  • Pain Medicine (Anesthesiology) Physician
  • Baltimore, MD
  • NPI 1922008549
  Medicare reassignment NPD
• Johns Hopkins University

  dba JHU - 4692 Millennium Drive - Physician

  • Ophthalmology Physician
  • Belcamp, MD
  • NPI 1376342774
  NPD
• Johns Hopkins University

  dba Jhu - Division 500

  • Psychiatry Physician
  • Baltimore, MD
  • NPI 1891072286

  Psychiatric/Mental Health

  NPD

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

{
    "created_epoch": "1570752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1043852023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 GRAVENHURST CT",
            "city": "NORTH POTOMAC",
            "state": "MD",
            "postal_code": "208783448",
            "telephone_number": "240-476-2106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 GRAVENHURST CT",
            "city": "NORTH POTOMAC",
            "state": "MD",
            "postal_code": "208783448",
            "telephone_number": "240-476-2106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SESAY",
        "first_name": "HABIBATU",
        "middle_name": "KEMOH",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-11",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R203765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "HL7",
            "affiliation": "N",
            "address_1": "4 Gravenhurst Ct",
            "city": "North Potomac",
            "state": "MD",
            "country_code": "US",
            "postal_code": "208783448",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "RDF",
            "affiliation": "N",
            "address_1": "4 Gravenhurst Ct",
            "city": "North Potomac",
            "state": "MD",
            "country_code": "US",
            "postal_code": "208783448",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "HL7",
            "affiliation": "N",
            "address_1": "4 Gravenhurst Ct",
            "city": "North Potomac",
            "state": "MD",
            "country_code": "US",
            "postal_code": "208783448",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Donna Rose
• Alpana Roy, REGISTERED NURSE
• RX Rhamp LLC
• Lisa Satterfield, M.S., CCC/A
• Fadime Seremet
• Hee J Seung, L. AC.
• Robert Shugoll, PH.D.
• Cynthia Siegel
• Smile Loft North Potomac LLC
• Beth Ann Smith, LICSW

• Psychiatric/Mental Health Nurse Practitioner in North Potomac, MD
• Providers in North Potomac, 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 Apr 5, 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.