Individual provider Active NPI

Cynthia Ekwutife, DNP CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Owings Mills, MD
National Provider Identifier
1194364588
Registry record updated Feb 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R197853 Issued in MD
Practice address
Gifts Mental Health Clinic
20 Crossroads Drive Suite 105
Owings Mills, MD 21117-2111
Phone
(410) 356-2007
NPI assigned
Jan 2, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X R197853 MD
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R197853 MD Primary

Addresses

Primary practice location

Gifts Mental Health Clinic
20 Crossroads Drive Suite 105
Owings Mills, MD 21117-2111

Mailing address

2504 Highcrest CT
Manchester, MD 21102-1413
Phone (443) 895-0898

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cynthia.c.ekwutife@medstar.net Health Information Exchange (HIE)

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
I20231108001420 MD Practitioner - Nurse Practitioner 0042635633 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Manchester, MD 21102
Phone (443) 895-0898

2504 Highcrest CT
Manchester, MD 21102-1413

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Total Wellness Mental Health Clinic LLC Psychiatric/Mental Health CurrentSince Oct 2, 2023 Accepting new patients

Organizations & group practices 1

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": "1577923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676851200000",
    "number": "1194364588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2504 HIGHCREST CT",
            "city": "MANCHESTER",
            "state": "MD",
            "postal_code": "211021413",
            "telephone_number": "443-895-0898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "GIFTS MENTAL HEALTH CLINIC",
            "address_2": "20 CROSSROADS DRIVE SUITE 105",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211172111",
            "telephone_number": "410-356-2007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EKWUTIFE",
        "first_name": "CYNTHIA",
        "credential": "DNP CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-02",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R197853",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R197853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cynthia.c.ekwutife@medstar.net",
            "affiliation": "N",
            "endpointDescription": "This is a temporal address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2504 Highcrest Ct",
            "city": "Manchester",
            "state": "MD",
            "country_code": "US",
            "postal_code": "211021413",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Owings Mills, MD

Sources for this page

Verify at the official NPI Registry.