Individual provider Active NPI

Nkechi Patricia Jiabana, CRNP-PMH

  • Psychiatric/Mental Health Nurse Practitioner
  • Parkville, MD
National Provider Identifier
1194331934
Registry record updated Oct 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R172740 Issued in MD
Practice address
8511 Harford Road
Parkville, MD 21234
Phone
(443) 653-0074
NPI assigned
Sep 17, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2021

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 R172740 MD Primary

Addresses

Primary practice location

8511 Harford Road
Parkville, MD 21234

Mailing address

1924 Ellinwood Road
Baltimore, MD 21237
Phone (443) 852-6944

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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 1

Enrollment IDStateProvider typePAC IDDetails
I20210325002837 MD Practitioner - Nurse Practitioner 3577970136 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R172740MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
All American Homecare and PRP Services Inc. CurrentSince Feb 21, 2021 Accepting new patients
Psych Associates of Maryland LLC CurrentSince Dec 22, 2020 Accepting new patients
Balance Point Wellness, LLC CurrentSince Jul 25, 2022 Accepting new patients
All American Home Care and PRP Services Inc. PastSince Feb 1, 2021 Accepting new patients

Locations

2015 Emmorton Rd
Ste 201
Bel Air, MD 21015
Phone 41080021695740

7658 Belair Rd
Nottingham, MD 21236
Phone (410) 701-0012

2331 York Rd
Ste 100
Timonium, MD 21093

120 Sister Pierre Dr
Ste 403
Towson, MD 21204

Organizations & group practices 4

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": "1600300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633392000000",
    "number": "1194331934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1924 ELLINWOOD ROAD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21237",
            "telephone_number": "443-852-6944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8511 HARFORD ROAD",
            "city": "PARKVILLE",
            "state": "MD",
            "postal_code": "21234",
            "telephone_number": "443-653-0074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIABANA",
        "first_name": "NKECHI",
        "middle_name": "PATRICIA",
        "name_prefix": "Mrs.",
        "credential": "CRNP-PMH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-17",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R172740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkville, MD

Sources for this page

Verify at the official NPI Registry.