Individual provider Active NPI

Chinweoke Martin

  • Psychiatric/Mental Health Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1194577718
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R199734 Issued in MD
Practice address
5136 Belair Rd
Baltimore, MD 21206-5146
Phone
(443) 500-2458
NPI assigned
Apr 5, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 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 Nurse Practitioner 363LP0808X R199734 MD Primary

Addresses

Primary practice location

5136 Belair Rd
Baltimore, MD 21206-5146

Mailing address

702 Wineberry Way
Aberdeen, MD 21001-2661
Phone (443) 356-7984

Other practice location 1

9712 Belair Rd Ste 200
Nottingham, MD 21236-1112
Phone (410) 513-7577

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
I20240624003513 MD Practitioner - Nurse Practitioner 0648713206 Reassigns benefits to 5 organizations
I20250207001980 DC Practitioner - Nurse Practitioner 0648713206 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrahealth LLCGroup PAC ID 3678911625, 47 clinicians

Practice addresses (Care Compare)

200 Civic Ave
Salisbury, MD 21804-4599
Phone (410) 749-1466

3210 Powder Mill Rd
Hyattsville, MD 20783-1029
Phone (443) 452-9612

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Restorative Health Care LLC CurrentSince Jun 15, 2025 Accepting new patients
Resonance Behavioral Health Services Psychiatric/Mental Health CurrentSince May 14, 2024 Accepting new patients
Integrahealth LLC Psychiatric/Mental Health CurrentSince Dec 20, 2024 Accepting new patients
Toller Enterprises LLC Psychiatric/Mental Health CurrentSince Jan 1, 2025 Accepting new patients
Spiritual Healing Psychiatric/Mental Health CurrentSince Jan 1, 2025 Accepting new patients
Integrahealth LLC Psychiatric/Mental Health Current 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

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

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

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

Organizations & group practices 7

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": "1712275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1194577718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 WINEBERRY WAY",
            "city": "ABERDEEN",
            "state": "MD",
            "postal_code": "210012661",
            "telephone_number": "443-356-7984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5136 BELAIR RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212065146",
            "telephone_number": "443-500-2458"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9712 Belair Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Nottingham",
            "state": "MD",
            "postal_code": "212361112",
            "country_code": "US",
            "telephone_number": "410-513-7577",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "CHINWEOKE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-05",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R199734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.