Individual provider Active NPI

Faustine N Anakaraonye, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1114687795
Registry record updated Mar 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R177207 Issued in MD
Practice address
330 W 24TH St
Baltimore, MD 21211-3216
Phone
(443) 400-2344
NPI assigned
Dec 23, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2023

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 R177207 MD Primary

Addresses

Primary practice location

330 W 24TH St
Baltimore, MD 21211-3216

Mailing address

330 W 24TH St
Baltimore, MD 21211-3216
Phone (443) 400-3244

Other practice location 1

2 Viewridge Ct Apt F
Nottingham, MD 21236-3552
Phone (443) 400-3244

Other practice location 2

1900 E Northern Pkwy Ste 308
Baltimore, MD 21239-2111
Phone (443) 400-3244

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
I20230501000605 MD Practitioner - Nurse Practitioner 6204291073

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Aultimate Dimension Behavioral Health Services LLC Psychiatric/Mental Health Current Accepting new patients

Locations

330 W 24th St
Baltimore, MD 21211
Phone (443) 400-2344

Organizations & group practices 1

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": "1640217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679875200000",
    "number": "1114687795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 W 24TH ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212113216",
            "telephone_number": "443-400-3244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 W 24TH ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212113216",
            "telephone_number": "443-400-2344"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Viewridge Ct Apt F",
            "address_purpose": "LOCATION",
            "city": "Nottingham",
            "state": "MD",
            "postal_code": "212363552",
            "country_code": "US",
            "telephone_number": "443-400-3244",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1900 E Northern Pkwy Ste 308",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212392111",
            "country_code": "US",
            "telephone_number": "443-400-3244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANAKARAONYE",
        "first_name": "FAUSTINE",
        "middle_name": "N",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-23",
        "last_updated": "2023-03-27",
        "certification_date": "2023-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R177207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.