Active NPI
Sonita Nulla
- Psychiatric/Mental Health Nurse Practitioner
- Joppa, MD
National Provider Identifier
1134488844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- R217800
- Practice address
- 1518 Philadelphia Rd
Joppa, MD 21085-3216 - Phone
- (240) 705-3324
- NPI assigned
- May 15, 2012
- Last updated
- May 17, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | R217800 | MD | Primary |
Addresses
Primary practice location
1518 Philadelphia Rd
Joppa, MD 21085-3216
Mailing address
1107 Kingwood Dr
Takoma Park, MD 20912-6917
Phone (240) 705-3324
Other practice location 1
1818 New York Av
Global Healh Care 117
Washington, DC 20002
Phone (202) 480-0813
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134488844 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allun | Psychiatric/Mental Health | Current | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589673600000",
"number": "1134488844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1107 KINGWOOD DR",
"city": "TAKOMA PARK",
"state": "MD",
"postal_code": "209126917",
"telephone_number": "240-705-3324",
"fax_number": "202-503-2363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1518 PHILADELPHIA RD",
"city": "JOPPA",
"state": "MD",
"postal_code": "210853216",
"telephone_number": "240-705-3324"
}
],
"practiceLocations": [
{
"address_1": "1818 NEW YORK AV",
"address_2": "GLOBAL HEALH CARE 117",
"address_purpose": "LOCATION",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "20002",
"country_code": "US",
"telephone_number": "202-480-0813",
"fax_number": "202-503-2363",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NULLA",
"first_name": "SONITA",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-15",
"last_updated": "2020-05-17",
"certification_date": "2020-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MD",
"license": "R217800",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1134488844",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Joppa, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.