Individual provider Active NPI

Chimdinma Deborah Ojini, NURSE PRACTITIONER

  • Psychiatric/Mental Health Nurse Practitioner
  • Takoma Park, MD
National Provider Identifier
1255729463
Registry record updated Feb 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN1013389 Issued in DC
Practice address
7610 Carroll Ave Ste 100
Takoma Park, MD 20912
Phone
(301) 891-2500
Fax
(301) 448-1679
NPI assigned
Dec 23, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1013389 DC
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN1013389 DC Primary

Addresses

Primary practice location

7610 Carroll Ave Ste 100
Takoma Park, MD 20912

Mailing address

7610 Carroll Ave Ste 100
Takoma Park, MD 20912-6311
Phone (301) 891-2500

Other practice location 1

1160 Varnum St. NE, STE #117
De Paul Professional Bldg
North East, DC 20017
Phone (202) 387-7039

Other identifiers 1

IdentifierTypeStateIssuer
R180737OtherMDLICENSE

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150825005358 DC Practitioner - Nurse Practitioner 4789990466 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Children'S HospitalGroup PAC ID 0244143170, 212 clinicians

Practice addresses (Care Compare)

111 Michigan Ave NW
Washington, DC 20010-2916
Phone (301) 572-3514

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1013389DCMDFamily Nurse Practitioner
RN1013389DCMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wisconsin Ave Psychiatric Center Inc Psychiatric/Mental Health CurrentSince Apr 16, 2018 Accepting new patients
Children'S Hospital CurrentSince Oct 22, 2020 Accepting new patients
Children'S Hospital Current Accepting new patients
Children'S Hospital CurrentSince Oct 22, 2020 Accepting new patients

Locations

111 Michigan Ave NW
Washington, DC 20010
Phone (202) 476-3670

5028 Wisconsin Ave NW
Ste 400
Washington, DC 20016
Phone (202) 237-2700

4228 Wisconsin Ave NW
Washington, DC 20016
Phone (202) 885-5600

Organizations & group practices 4

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": "1419292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581984000000",
    "number": "1255729463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7610 CARROLL AVE STE 100",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209126311",
            "telephone_number": "301-891-2500",
            "fax_number": "301-448-1679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7610 CARROLL AVE STE 100",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "20912",
            "telephone_number": "301-891-2500",
            "fax_number": "301-448-1679"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1160 Varnum St. NE, STE #117",
            "address_2": "De Paul Professional Bldg",
            "address_purpose": "LOCATION",
            "city": "North East",
            "state": "DC",
            "postal_code": "20017",
            "country_code": "US",
            "telephone_number": "202-387-7039",
            "fax_number": "202-455-4710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OJINI",
        "first_name": "CHIMDINMA",
        "middle_name": "DEBORAH",
        "name_prefix": "Mrs.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-23",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DC",
            "license": "1013389",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "DC",
            "license": "RN1013389",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "R180737",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Takoma Park, MD

Sources for this page

Verify at the official NPI Registry.