Active NPI
Saudy Elizabeth Kanu
- Psychiatric/Mental Health Nurse Practitioner
- Fulton, MD
National Provider Identifier
1215701321
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- R231533
- Practice address
- 8115 Maple Lawn Blvd
Suite 350
Fulton, MD 20759 - Phone
- (240) 786-4527
- NPI assigned
- Nov 9, 2023
- Last updated
- Nov 9, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | R231533 | MD | Primary |
Addresses
Primary practice location
8115 Maple Lawn Blvd
Suite 350
Fulton, MD 20759
Mailing address
8115 Maple Lawn Blvd
Suite 350
Fulton, MD 20759
Phone (240) 786-4527
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
Enrollment records 1
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
Practice addresses (Care Compare)
8115 Maple Lawn Blvd
Suite 350
Fulton, MD 20759-2683
Phone (410) 800-3440
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.96 of 100
- Quality
- 57.65
- Improvement activities
- 40
- Cost
- 86.33
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R231533 | MD | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Esno Health Group | Multi-Specialty | Current | Accepting new patients |
Locations
8115 Maple Lawn Blvd
Ste 350
Fulton, MD 20759
Phone (240) 744-0001
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1699488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699488000000",
"number": "1215701321",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8115 MAPLE LAWN BLVD",
"address_2": "SUITE 350",
"city": "FULTON",
"state": "MD",
"postal_code": "20759",
"telephone_number": "240-786-4527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8115 MAPLE LAWN BLVD",
"address_2": "SUITE 350",
"city": "FULTON",
"state": "MD",
"postal_code": "20759",
"telephone_number": "240-786-4527"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANU",
"first_name": "SAUDY",
"middle_name": "ELIZABETH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-11-09",
"last_updated": "2023-11-09",
"certification_date": "2023-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MD",
"license": "R231533",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fulton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.