Individual provider Active NPI

Harriet Agyeiwaa Asiedu, NP

  • Adult Health Nurse Practitioner
  • Glen Burnie, MD
National Provider Identifier
1316538705
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
R187082 Issued in MD
Practice address
85 Kindred Way
Suite 101
Glen Burnie, MD 21061-5246
Phone
(410) 553-6360
Fax
(410) 553-6661
NPI assigned
Jan 29, 2021
Sex
Female
Sole proprietor
Yes

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 and National Provider Directory roles.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nnaemeka Agajelu MD LLC 2 clinicians

Practice addresses (Care Compare)

85 Kindred Way
Apt 101
Glen Burnie, MD 21061-5246
Phone (410) 553-6360

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220325000108 MD Practitioner - Nurse Practitioner 5698160851 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R187082MDMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nnaemeka Agajelu MD LLC CurrentSince Nov 17, 2021 Accepting new patients

Locations

85 Kindred Way
Apt 101
Glen Burnie, MD 21061
Phone (410) 553-6360

301 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 787-4565

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X R187082 MD Primary

Addresses

NPPES NPI Registry

Primary practice location

85 Kindred Way
Suite 101
Glen Burnie, MD 21061-5246

Mailing address

85 Kindred Way
Suite 101
Glen Burnie, MD 21061-5246
Phone (410) 746-2332

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 25, 2024.

{
    "created_epoch": "1611878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1316538705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 KINDRED WAY",
            "address_2": "SUITE 101",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615246",
            "telephone_number": "410-746-2332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 KINDRED WAY",
            "address_2": "SUITE 101",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615246",
            "telephone_number": "410-553-6360",
            "fax_number": "410-553-6661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASIEDU",
        "first_name": "HARRIET",
        "middle_name": "AGYEIWAA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-29",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MD",
            "license": "R187082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

Verify at the official NPI Registry.