Ernestine Mbi Enohmbi, RN, DNP, MSN, FNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R195511 Issued in MD

Practice address

13807 Clarkwood LN
Laurel, MD 20707-9437

Phone

(240) 855-5423

Fax

(979) 606-0062

NPI assigned

Oct 29, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Seamagtek Healthcare Services L.L.C.Group PAC ID 2466876248, 2 clinicians

Prime Behavioral Health LLCGroup PAC ID 7214277839, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

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.

• Seamagtek Healthcare Services, L.L.C.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Beltsville, MD
  • NPI 1124654652

  DC, Family

  Medicare reassignment Care Compare group NPD Authorized official
• Prime Behavioral Health LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Laurel, MD
  • NPI 1164990818

  DC

  Medicare reassignment Care Compare group NPD
• Psychogeriatric Services LLC

  • Psychiatry Physician
  • Columbia, MD
  • NPI 1588689483
  Medicare reassignment
• Seamagtek Healthcare Services, L.L.C.

  • Mental Health Counselor
  • Beltsville, MD
  • NPI 1790393056

  Family

  NPD
• BK Behavioral Health Center

  • Addiction (Substance Use Disorder) Counselor
  • Laurel, MD
  • NPI 1295225761
  NPD (past)

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

{
    "created_epoch": "1414540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595376000000",
    "number": "1154726404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13807 CLARKWOOD LN",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207079437",
            "telephone_number": "240-855-5423",
            "fax_number": "979-606-0062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13807 CLARKWOOD LN",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207079437",
            "telephone_number": "240-855-5423",
            "fax_number": "979-606-0062"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3341 Benning Rd NE",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200191502",
            "country_code": "US",
            "telephone_number": "202-491-4766",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ENOHMBI",
        "first_name": "ERNESTINE",
        "middle_name": "MBI",
        "name_prefix": "Dr.",
        "credential": "RN, DNP, MSN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-29",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R195511",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R195511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yeruknesh Admassu Endalamaw
• Mba Jackibille Endon
• Minjung Engle
• Alice Danielle Engolo
• Enk Surgicenter,LLC
• Joana Enow, HHA
• Ogochukwu Enyi, PMHNP-BC
• Michele Jacqueline Epps, PT
• Equillibrium Health Care Services LLC
• Haileleoul Desta Erbello, PA

• Psychiatric/Mental Health Nurse Practitioner in Laurel, MD
• Providers in Laurel, MD by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.