Fulgentia Smith, CRNP-PMH

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R220646 Issued in MD

Practice address

12800 Ledo Creek Ter
Beltsville, MD 20705-5106

Phone

(240) 583-9349

NPI assigned

Jan 16, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Imind Health LLCGroup PAC ID 9537417324, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Imind Health LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Lanham, MD
  • NPI 1265921647

  DC

  Medicare reassignment Care Compare group NPD
• Doxa Health and Wellness LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Beltsville, MD
  • NPI 1619634292

  DC

  Medicare reassignment NPD
• First Health Services LLC

  • Mental Health Counselor
  • Capitol Heights, MD
  • NPI 1669055091

  DC

  Medicare reassignment NPD
• Imind Health LLC

  • Substance Abuse Rehabilitation Facility
  • Lanham, MD
  • NPI 1497218317
  NPD
• Imind Health LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lanham, MD
  • NPI 1982425195
  NPD

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

{
    "created_epoch": "1673827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673827200000",
    "number": "1043925035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12800 LEDO CREEK TER",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207055106",
            "telephone_number": "301-502-6460",
            "fax_number": "608-305-8787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12800 LEDO CREEK TER",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207055106",
            "telephone_number": "240-583-9349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "FULGENTIA",
        "name_prefix": "Mrs.",
        "credential": "CRNP-PMH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-16",
        "last_updated": "2023-01-16",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R220646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amira Smith
• Cecelia Smith, HHA
• Claude George Smith Jr.
• Danielle Smith
• Destiny A Smith
• Jermaine Smith, R.PH.
• Juana Smith
• Kiante Smith
• Kyra Smith
• Melvin Dennis Smith, RD

• Psychiatric/Mental Health Nurse Practitioner in Beltsville, MD
• Providers in Beltsville, 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 Jan 16, 2023; 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.