Individual provider Active NPI

Ifeyinwa Viola Nworji-Amah I, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Owings Mills, MD
National Provider Identifier
1134819345
Registry record updated May 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R200279 Issued in MD
Practice address
20 Crossroads Dr
Owings Mills, MD 21117-5419
Phone
(443) 895-0898
NPI assigned
May 10, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 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 R200279 MD Primary

Addresses

Primary practice location

20 Crossroads Dr
Owings Mills, MD 21117-5419

Mailing address

7701 Big Buck Dr
Windsor Mill, MD 21244-2067
Phone (410) 212-9592

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
I20240613000251 MD Practitioner - Nurse Practitioner 9335681964 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bon Ridge Wellness LLCGroup PAC ID 1951775337, 7 clinicians

Practice addresses (Care Compare)

8503 Greens LN
Windsor Mill, MD 21244-1124
Phone (301) 571-7200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R200279MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bon Ridge Wellness, LLC CurrentSince Jun 4, 2024 Accepting new patients
Salus Health Inc CurrentSince Sep 25, 2024 Accepting new patients
Bon Ridge Wellness, LLC PastSince Jun 3, 2025 Accepting new patients
Bima Healthcare Services LLC PastSince May 14, 2023 Accepting new patients

Locations

1020 Saint Paul St
Baltimore, MD 21202
Phone (410) 529-0348

2500 N Rolling Rd
Ste 102
Windsor Mill, MD 21244
Phone (301) 571-7200

Organizations & group practices 4

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": "1683676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683676800000",
    "number": "1134819345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7701 BIG BUCK DR",
            "city": "WINDSOR MILL",
            "state": "MD",
            "postal_code": "212442067",
            "telephone_number": "410-212-9592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 CROSSROADS DR",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175419",
            "telephone_number": "443-895-0898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWORJI-AMAH",
        "first_name": "IFEYINWA",
        "middle_name": "VIOLA",
        "name_suffix": "I",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-10",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R200279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owings Mills, MD

Sources for this page

Verify at the official NPI Registry.