Esther Opemipo Shadare, DNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R206030 Issued in MD

Practice address

1401 Madison Park Dr Ste 201
Glen Burnie, MD 21061-5881

Phone

(410) 787-5704

Fax

(410) 787-5714

NPI assigned

Sep 15, 2015

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Body Mind & Soul Family Services, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Glen Burnie, MD
  • NPI 1508428541
  Medicare reassignment NPD
• Gilead Quantum Health Systems Inc.

  • Clinic/Center
  • Lanham, MD
  • NPI 1043497290

  DC

  Medicare reassignment NPD
• People Encouraging People, Inc.

  • Mental Health Counselor
  • Baltimore, MD
  • NPI 1033234240
  NPD
• People Encouraging People, Inc.

  • Community/Behavioral Health Agency
  • Windsor Mill, MD
  • NPI 1275829111
  NPD
• People Encouraging People, Inc.

  • Mental Health Counselor
  • Middle River, MD
  • NPI 1386182673
  NPD
• Thrive Behavioral Health, LLC

  • Community/Behavioral Health Agency
  • Baltimore, MD
  • NPI 1790156362
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1442275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1245609775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 MADISON PARK DR STE 201",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615881",
            "telephone_number": "410-787-5704",
            "fax_number": "410-787-5714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 MADISON PARK DR STE 201",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615881",
            "telephone_number": "410-787-5704",
            "fax_number": "410-787-5714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHADARE",
        "first_name": "ESTHER",
        "middle_name": "OPEMIPO",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-15",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "DC",
            "license": "RN1030978",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R206030",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024185798",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R206030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charniece L Sevilla-Mullins
• Effie Pinkrah Sevor, FNP-BC
• SG Loving Care Agency
• SGL Inc
• Bayinnah Shabazz, M.D.
• Asma Roohi Shah, R.PH., MBA.
• Manish H Shah
• Rizwan Akhtar Shah, R.PH.,M.S.
• Saureen Shah, DDS
• Shahab a Malik MD, LLC.

• Psychiatric/Mental Health Nurse Practitioner in Glen Burnie, MD
• Providers in Glen Burnie, MD by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.

Verify at the official NPI Registry.