Individual provider Active NPI

Imelda Nnemdi Uzoka

  • Psychiatric/Mental Health Registered Nurse
  • Washington, DC
National Provider Identifier
1184486557
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
RN1046571 Issued in MD
Practice address
3341 Benning Rd NE
Washington, DC 20019-1502
Phone
(202) 543-0387
Fax
(202) 548-2758
NPI assigned
Jan 30, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

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 Registered Nurse 163WP0808X RN1046571 MD Primary

Addresses

Primary practice location

3341 Benning Rd NE
Washington, DC 20019-1502

Mailing address

107 Orchard Dr
Gaithersburg, MD 20878-2221
Phone (240) 750-3140

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

LicenseStateTypeSpecialty
RN1046571MDMDPsychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Family Preservation Services of DC CurrentSince Jul 21, 2024 Accepting new patients
Family Preservation Services PastSince Feb 4, 2024 Accepting new patients

Locations

3341 Benning Rd NE
Washington, DC 20019
Phone (202) 236-6841

Organizations & group practices 2

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": "1706572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1184486557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 ORCHARD DR",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208782221",
            "telephone_number": "240-750-3140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3341 BENNING RD NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200191502",
            "telephone_number": "202-543-0387",
            "fax_number": "202-548-2758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UZOKA",
        "first_name": "IMELDA",
        "middle_name": "NNEMDI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-30",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "MD",
            "license": "RN1046571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.