Individual provider Active NPI

Phyllis Catherine Nyotta, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Linthicum, MD
National Provider Identifier
1174890735
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R168764 Issued in MD
Practice address
705 Digital Dr
Linthicum, MD 21090-2267
Phone
(410) 636-3060
NPI assigned
Nov 28, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R168764 MD
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X R168764 MD
Psychiatric/Mental Health Clinical Nurse SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 364SP0808X R168764 MD
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R168764 MD Primary

Addresses

Primary practice location

705 Digital Dr
Linthicum, MD 21090-2267

Mailing address

2 Michaela CT
Parkville, MD 21234-1883
Phone (443) 616-9560

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
I20130709000432 MD Practitioner - Nurse Practitioner 8820238264 Reassigns benefits to 5 organizations
I20130709000498 DC Practitioner - Nurse Practitioner 8820238264 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Symphony Medical Associates, PAGroup PAC ID 4486643905, 7 clinicians

Practice addresses (Care Compare)

821 N Eutaw St
Suite 308
Baltimore, MD 21201-6303
Phone (410) 383-2072

Hospital & facility affiliations

  • Vna of Maryland Home health agency, Owings Mills, MD, CCN 217008

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R168764MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Symphony Medical Associates, PA Multi-Specialty CurrentSince Dec 5, 2016 Accepting new patients
Integrahealth LLC Multi-Specialty CurrentSince Nov 19, 2024 Accepting new patients
Integrahealth LLC Multi-Specialty CurrentSince Nov 19, 2024 Accepting new patients
Grace and Hope Nursing Agency LLC Multi-Specialty CurrentSince Nov 26, 2021 Accepting new patients
Toller Enterprises LLC Multi-Specialty CurrentSince Mar 28, 2023 Accepting new patients
Great Health Medical Group MD PC Multi-Specialty CurrentSince Jun 1, 2025 Accepting new patients
Spiritual Healing Multi-Specialty CurrentSince Sep 14, 2024 Accepting new patients
Grace and Hope Nursing Agency LLC Psychiatric/Mental Health CurrentSince Oct 15, 2023 Accepting new patients

Locations

1500 K St NW
Ste 200
Washington, DC 20005
Phone (667) 207-3552

10 N Rock Glen Rd
Baltimore, MD 21229
Phone (410) 646-2100

821 N Charles St
Baltimore, MD 21201
Phone (443) 452-9612

2232 E Monument St
Baltimore, MD 21205
Phone (667) 207-3552

821 N Eutaw St
Ste 308
Baltimore, MD 21201
Phone (410) 383-2072

3210 Powder Mill Rd
Hyattsville, MD 20783
Phone (301) 937-3939

9001 Cherry Ln
Laurel, MD 20708
Phone (301) 498-8558

9722 Groffs Mill Dr
Owings Mills, MD 21117
Phone (410) 205-9255

200 Civic Ave
Salisbury, MD 21804
Phone (410) 749-1466

515 Brightfield Rd
Timonium, MD 21093
Phone (410) 296-1990

407 Willoughby Ave
Brooklyn, NY 11205
Phone (212) 201-1252

Interoperability endpoints

  • Direct secure messaging: phyllis.nyotta.p2@direct.alegiscare.nextgenshare.com

Organizations & group practices 9

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1322438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1174890735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 MICHAELA CT",
            "city": "PARKVILLE",
            "state": "MD",
            "postal_code": "212341883",
            "telephone_number": "443-616-9560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 DIGITAL DR",
            "city": "LINTHICUM",
            "state": "MD",
            "postal_code": "210902267",
            "telephone_number": "410-636-3060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYOTTA",
        "first_name": "PHYLLIS",
        "middle_name": "CATHERINE",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-28",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R168764",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R168764",
            "primary": false
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R168764",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R168764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Linthicum, MD

Sources for this page

Verify at the official NPI Registry.