Individual provider Active NPI

Kate Ananga Pabai

  • Psychiatric/Mental Health Nurse Practitioner
  • Clinton, MD
National Provider Identifier
1093076713
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R224573 Issued in MD
Practice address
7503 Surratts Rd
Clinton, MD 20735-3358
Phone
(443) 449-0938
NPI assigned
May 30, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R224573 MD Primary

Addresses

Primary practice location

7503 Surratts Rd
Clinton, MD 20735-3358

Mailing address

7503 Surratts Rd
Clinton, MD 20735-3358

Other names 1

  • Catherine Keng Ananga Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, 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

Enrollment IDStateProvider typePAC IDDetails
I20220630001285 DC Practitioner - Nurse Practitioner 2860872306 Reassigns benefits to 2 organizations
I20241014001518 MD Practitioner - Nurse Practitioner 2860872306 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Glow Kare Health ServicesGroup PAC ID 2264963487, 3 clinicians
Thrive Counseling LLCGroup PAC ID 0749458420, 1,187 clinicians

Practice addresses (Care Compare)

2316 Knotweed CT
Waldorf, MD 20603-4946
Phone (240) 353-2516

529 14TH St NW
Suite 1170
Washington, DC 20045-2105
Phone (202) 221-8410

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Glow Kare Health Services Psychiatric/Mental Health CurrentSince Oct 13, 2024 Accepting new patients
New Spring Behavioral Health LLC Psychiatric/Mental Health CurrentSince Aug 11, 2022 Accepting new patients
Thrive Counseling LLC CurrentSince Jun 6, 2022 Accepting new patients
K&P Healthcare Services Psychiatric/Mental Health Current Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Jul 12, 2024 Accepting new patients
Glow Kare Health Services Psychiatric/Mental Health CurrentSince Sep 1, 2024 Accepting new patients
Nursing Enterprises, Inc. Past Accepting new patients
Vitalcare Integrative Health Psychiatric/Mental Health PastSince May 1, 2024 Accepting new patients
Nursing Enterprises, Inc. Past Accepting new patients

Locations

529 14th St NW
Ste 1170
Washington, DC 20045
Phone (202) 221-8410

6 Post Office Rd
Ste 103
Waldorf, MD 20602
Phone (301) 213-1282

6076 Franconia Rd
Ste D
Alexandria, VA 22310
Phone (703) 828-9054

1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263

8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1338336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1093076713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7503 SURRATTS RD",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207353358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7503 SURRATTS RD",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207353358",
            "telephone_number": "443-449-0938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PABAI",
        "first_name": "KATE",
        "middle_name": "ANANGA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-30",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R224573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CATHERINE",
            "last_name": "ANANGA",
            "middle_name": "KENG",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Clinton, MD

Sources for this page

Verify at the official NPI Registry.