Active NPI
Kumutha Flawrence Daniel, NP
- Psychiatric/Mental Health Nurse Practitioner
- Largo, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- R187115
- Practice address
- 1401 Mercantile LN Ste 200H
Largo, MD 20774-4310 - Phone
- (301) 957-5451
- Fax
- (301) 281-4002
- NPI assigned
- Jan 14, 2021
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | R187115 | MD | Primary |
Addresses
Primary practice location
1401 Mercantile LN Ste 200H
Largo, MD 20774-4310
Mailing address
1401 Mercantile LN Ste 200H
Largo, MD 20774-4310
Phone (301) 957-5451
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210513002188 | DC | Practitioner - Nurse Practitioner | 3173932670 | Reassigns benefits to 5 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- MD Behavioral Health LLCIntegrated Behavioral Health, LLC
Practice addresses (Care Compare)
12907 Northampton Dr
Beltsville, MD 20705-6333
Phone (240) 507-0015
4000 Mitchellville Rd
Suite A414
Bowie, MD 20716-3142
Phone (301) 249-8100
4200 Forbes Blvd
Suite 110
Lanham, MD 20706-4374
Phone (301) 499-4240
Merit-based Incentive Payment System (MIPS)
- Final score
- 25.78 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 85.93
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bowie Town Behavioral Services, Inc | Current | Accepting new patients | |
| Premier Health Care, LLC | Current | Accepting new patients | |
| Premier Health Care LLC | Current | Accepting new patients | |
| MD Behavioral Health LLC | Current | Accepting new patients | |
| Integrated Behavioral Health, LLC | Current | Accepting new patients | |
| Peaceful Mind Behavioral Health LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Premier Health Care LLC | Past | Accepting new patients |
Locations
4000 Mitchellville Rd
Ste A414
Bowie, MD 20716
Phone (301) 249-8100
14999 Health Center Dr
Ste 202
Bowie, MD 20716
Phone (301) 218-4220
4200 Forbes Blvd
Ste 110
Lanham, MD 20706
Phone (202) 607-6932
12073 Tech Rd
Ste B
Silver Spring, MD 20904
Phone (240) 396-5873
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Beltsville, MD
- NPI 1679383087
DC, Psychiatric/Mental Health
-
- Internal Medicine Physician
- Clinton, MD
- NPI 1528538758
-
- Psychiatry Physician
- Silver Spring, MD
- NPI 1871962548
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718236800000",
"number": "1225627136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 MERCANTILE LN STE 200H",
"city": "LARGO",
"state": "MD",
"postal_code": "207744310",
"telephone_number": "301-957-5451",
"fax_number": "301-281-4002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 MERCANTILE LN STE 200H",
"city": "LARGO",
"state": "MD",
"postal_code": "207744310",
"telephone_number": "301-957-5451",
"fax_number": "301-281-4002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANIEL",
"first_name": "KUMUTHA",
"middle_name": "FLAWRENCE",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-14",
"last_updated": "2024-06-13",
"certification_date": "2024-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MD",
"license": "R187115",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Largo, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; 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.