Individual provider Active NPI

Gloria Nkiru Nnah, DR,GLORIA NNAH

  • Psychiatric/Mental Health Nurse Practitioner
  • Elkridge, MD
National Provider Identifier
1336803550
Registry record updated Oct 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R173064 Issued in MD
Practice address
7220 Discovery Drive Elkridge MD
Elkridge, MD 21075
Phone
(443) 929-0892
Fax
(410) 496-4171
NPI assigned
Oct 25, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X R173064 MD Primary

Addresses

Primary practice location

7220 Discovery Drive Elkridge MD
Elkridge, MD 21075

Mailing address

7220 Discovery Drive Elkridge MD
Elkridge, MD 21075
Phone (443) 929-0892

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
I20220302000043 MD Practitioner - Nurse Practitioner 1355735689 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Salus Health Inc.Group PAC ID 8123436540, 13 clinicians
Harford-Belair Community Mental Health Center, Inc.Group PAC ID 5799838850, 7 clinicians

Practice addresses (Care Compare)

1020 Saint Paul St
Baltimore, MD 21202-2606
Phone (410) 529-0348

3220 Ridgeway PL
Windsor Mill, MD 21244-1021
Phone (443) 929-0892

4308 Harford Rd
Baltimore, MD 21214-3116
Phone (410) 426-5650

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R173064MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Realitycare Health Services Single Specialty CurrentSince Mar 7, 2022 Accepting new patients
Salus Health Inc Single Specialty CurrentSince Jun 1, 2022 Accepting new patients
Harford-Belair Community Mental Health Center, Inc. Single Specialty CurrentSince Jan 3, 2022 Accepting new patients
Realitycare Health Services Current Accepting new patients

Locations

1020 Saint Paul St
Baltimore, MD 21202
Phone (410) 529-0348

1705 Reisterstown Rd
Ste 200
Baltimore, MD 21208
Phone (443) 772-5454

4308 Harford Rd
Baltimore, MD 21214
Phone (410) 426-5650

516 N Rolling Rd
Ste 305
Catonsville, MD 21228
Phone (240) 245-6948

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": "1635120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635120000000",
    "number": "1336803550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7220 DISCOVERY DRIVE ELKRIDGE MD",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "21075",
            "telephone_number": "443-929-0892",
            "fax_number": "410-496-4171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7220 DISCOVERY DRIVE ELKRIDGE MD",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "21075",
            "telephone_number": "443-929-0892",
            "fax_number": "410-496-4171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NNAH",
        "first_name": "GLORIA",
        "middle_name": "NKIRU",
        "name_prefix": "Dr.",
        "credential": "DR,GLORIA NNAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-25",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R173064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkridge, MD

Sources for this page

Verify at the official NPI Registry.