Active NPI
Augustina Nkeiru Nduka, CRNP-PMH
- Psychiatric/Mental Health Nurse Practitioner
- Nottingham, MD
National Provider Identifier
1144899295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- R147357
- Practice address
- 9712 Belair Rd Ste 200
Nottingham, MD 21236-1112 - Phone
- (410) 513-7577
- NPI assigned
- Jun 23, 2021
- 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 | R147357 | MD | Primary |
Addresses
Primary practice location
9712 Belair Rd Ste 200
Nottingham, MD 21236-1112
Mailing address
1209 Kingsbury Rd
Owings Mills, MD 21117-1341
Phone (443) 570-4886
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R147357 | MD | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624406400000",
"number": "1144899295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1209 KINGSBURY RD",
"city": "OWINGS MILLS",
"state": "MD",
"postal_code": "211171341",
"telephone_number": "443-570-4886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9712 BELAIR RD STE 200",
"city": "NOTTINGHAM",
"state": "MD",
"postal_code": "212361112",
"telephone_number": "410-513-7577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NDUKA",
"first_name": "AUGUSTINA",
"middle_name": "NKEIRU",
"credential": "CRNP-PMH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-23",
"last_updated": "2021-06-23",
"certification_date": "2021-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MD",
"license": "R147357",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nottingham, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.