Individual provider Active NPI

Edith E Onyenemezu

  • Psychiatric/Mental Health Nurse Practitioner
  • Greenbelt, MD
National Provider Identifier
1164070280
Registry record updated Feb 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R195539 Issued in MD
Practice address
7615 Ora Glen Dr
Greenbelt, MD 20770-3642
Phone
(866) 877-7258
Fax
(301) 495-0318
NPI assigned
Sep 2, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2026

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 R195539 MD Primary

Addresses

Primary practice location

7615 Ora Glen Dr
Greenbelt, MD 20770-3642

Mailing address

6809 Woodstream Dr
Lanham, MD 20706-2125
Phone (301) 806-7865

Other practice location 1

14300 Cherry Lane Ct Ste 108
Laurel, MD 20707-4978
Phone (301) 806-7865

Other practice location 2

6809 Woodstream Dr
Lanham, MD 20706-2125
Phone (301) 806-7865

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 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

Enrollment IDStateProvider typePAC IDDetails
I20200417002320 MD Practitioner - Nurse Practitioner 4587094354
I20210323000998 DC Practitioner - Nurse Practitioner 4587094354 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Clinic, IncGroup PAC ID 6204722614, 33 clinicians

Practice addresses (Care Compare)

6809 Woodstream Dr
Lanham, MD 20706-2125
Phone 301806786500000

7676 New Hampshire Ave
Takoma Park, MD 20912-7514
Phone (301) 431-2972

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Health Affairs LLC CurrentSince Dec 11, 2023 Accepting new patients
Community Clinic, Inc CurrentSince Dec 1, 2022 Accepting new patients
Community Clinic, Inc. CurrentSince Dec 1, 2022 Accepting new patients

Locations

7474 Greenway Center Dr
Ste 300
Greenbelt, MD 20770
Phone (240) 624-2278

7615 Ora Glen Dr
Greenbelt, MD 20770
Phone (240) 650-0811

8630 Fenton St
Ste 1204
Silver Spring, MD 20910
Phone (240) 499-2636

8630 Fenton St
Ste 1200
Silver Spring, MD 20910
Phone (301) 585-1250

8665 Georgia Ave
Silver Spring, MD 20910
Phone (301) 340-7525

Interoperability endpoints

  • Direct secure messaging: edith.onyenemezu@ccicares.eclinicaldirectplus.com

Organizations & group practices 3

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": "1567382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772150400000",
    "number": "1164070280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6809 WOODSTREAM DR",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207062125",
            "telephone_number": "301-806-7865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7615 ORA GLEN DR",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207703642",
            "telephone_number": "866-877-7258",
            "fax_number": "301-495-0318"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14300 Cherry Lane Ct Ste 108",
            "address_purpose": "LOCATION",
            "city": "Laurel",
            "state": "MD",
            "postal_code": "207074978",
            "country_code": "US",
            "telephone_number": "301-806-7865",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6809 Woodstream Dr",
            "address_purpose": "LOCATION",
            "city": "Lanham",
            "state": "MD",
            "postal_code": "207062125",
            "country_code": "US",
            "telephone_number": "301-806-7865",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ONYENEMEZU",
        "first_name": "EDITH",
        "middle_name": "E",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-02",
        "last_updated": "2026-02-27",
        "certification_date": "2026-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R195539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbelt, MD

Sources for this page

Verify at the official NPI Registry.