Assumpta Hope Bourgeois, NP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Washington, DC
NPI 1194422485 · NPPES record last updated Mar 24, 2024
Key facts
- NPI
- 1194422485
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- NP1060211 (DC)
- Practice address
- 2501 Good Hope Rd SE
Washington, DC 20020-3011 - Phone
- (202) 866-7505
- NPI assigned
- Feb 8, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240716000044 | DC | Practitioner - Nurse Practitioner | 9537604483 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP1060211 | DC | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Betterdays Healthcare Services, Inc. | Psychiatric/Mental Health | Current |
Accepting new patients |
| Toller Enterprises LLC | Current |
Accepting new patients | |
| Renaissance Grace Services DC LLC | Psychiatric/Mental Health | Current |
Accepting new patients |
| Toller Enterprises LLC | Psychiatric/Mental Health | Current |
Accepting new patients |
| Unity Healthcare Sevices | Past | Accepting new patients |
Locations
1500 K St NW
Ste 200
Washington, DC 20005
Phone (667) 207-3552
730 24th St NW
Ste 10
Washington, DC 20037
Phone (202) 817-6608
3210 Powder Mill Rd
Hyattsville, MD 20783
Phone (301) 937-3939
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | NP1060211 | DC | Yes |
Addresses
Primary practice location
2501 Good Hope Rd SE
Washington, DC 20020-3011
Mailing address
2501 Good Hope Rd SE
Washington, DC 20020-3011
Phone (202) 866-7505
Other providers in Washington, DC
- Alex C Boumoussa
- Monique Bounda Kougang
- Boundless
- Nchuo Shangha Bounzuo
- Paula Elise Bourelly
- Susan Walsh Bourgeois
- Bourn Enterprises
- Malaika Boursiquot
- Cecilia Bouska
- Bythia Boussampha
All providers in Washington, DC · Psychiatric/Mental Health Nurse Practitioner in District of Columbia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 24, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.