Active NPI
Theresa Oghosomhi Okereke, CRNP
- Family Nurse Practitioner
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R181818
- Practice address
- 28 Magothy Bridge Rd. Pasadena, MD. 21122
Baltimore, MD 21122 - Phone
- (866) 389-2727
- Fax
- (401) 652-9787
- NPI assigned
- Mar 6, 2014
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R181818 | MD | Primary |
Addresses
Primary practice location
28 Magothy Bridge Rd. Pasadena, MD. 21122
Baltimore, MD 21122
Mailing address
28 Magothy Bridge Rd. Pasadena, MD. 21122
Baltimore, MD 21122
Phone (866) 389-2727
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1 CVS Dr
Woonsocket, RI 02895-6146
28 Magothy Beach Rd
Pasadena, MD 21122-4428
Phone (866) 389-2727
3708 Mountain Rd
Pasadena, MD 21122-2025
Phone (410) 553-2900
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minuteclinic LLC | Family | Current | Accepting new patients |
| University of Maryland Community Medical Group, Inc. | Current | Accepting new patients | |
| University of Maryland Community Medical Group, Inc. | Current | Accepting new patients | |
| Minuteclinic Primary Care Maryland LLC | Family | Current | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
2601 Riva Rd
Annapolis, MD 21401
Phone (410) 571-2090
7809 Wisconsin Ave
Bethesda, MD 20814
Phone (301) 986-9144
2540 Centreville Rd
Centreville, MD 21617
Phone (410) 758-4432
10095 Ward Rd
Dunkirk, MD 20754
Phone (410) 257-0191
219 S Washington St
Easton, MD 21601
301 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 787-4565
28 Magothy Beach Rd
Pasadena, MD 21122
Phone (410) 353-6306
3708 Mountain Rd
Pasadena, MD 21122
Phone (410) 255-1600
7955 Tuckerman Ln
Rockville, MD 20854
Phone (301) 299-3717
1001 York Rd
Towson, MD 21204
Phone (410) 823-3900
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Baltimore, MD
- NPI 1477530624
-
- Psychiatry Physician
- La Plata, MD
- NPI 1679393854
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1394064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473811200000",
"number": "1225454937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28 MAGOTHY BRIDGE RD. PASADENA, MD. 21122",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21122",
"telephone_number": "866-389-2727",
"fax_number": "401-652-9787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28 MAGOTHY BRIDGE RD. PASADENA, MD. 21122",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21122",
"telephone_number": "866-389-2727",
"fax_number": "401-652-9787"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OKEREKE",
"first_name": "THERESA",
"middle_name": "OGHOSOMHI",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-06",
"last_updated": "2016-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "R181818",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2016; 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.