Individual provider Active NPI

Josephine Chibogu Emeagwali, DNP FNP-BC, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Hyattsville, MD
National Provider Identifier
1356698112
Registry record updated Aug 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R134072 Issued in MD
Practice address
6475 New Hampshire Ave Ste 430
Hyattsville, MD 20783-3277
Phone
(240) 670-8305
Fax
(240) 670-8306
NPI assigned
Aug 11, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN65139 DC
Family Nurse Practitioner 363LF0000X R134072 MD
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R134072 MD Primary

Addresses

Primary practice location

6475 New Hampshire Ave Ste 430
Hyattsville, MD 20783-3277

Mailing address

6475 New Hampshire Ave Ste 430
Hyattsville, MD 20783-3277
Phone (240) 670-8305

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
I20131018000052 DC Practitioner - Nurse Practitioner 4183858533 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN65139DCMDFamily Nurse Practitioner
R134072MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MC Medical Group of DC, PC Family CurrentSince Aug 19, 2013 Accepting new patients
Affordable Medical Clinic LLC Current Accepting new patients

Locations

845 Bladensburg Rd NE
Washington, DC 20002
Phone (202) 247-6551

6475 New Hampshire Ave
Ste 430
Hyattsville, MD 20783
Phone (240) 670-8305

Organizations & group practices 2

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": "1344643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597104000000",
    "number": "1356698112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6475 NEW HAMPSHIRE AVE STE 430",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207833277",
            "telephone_number": "240-670-8305",
            "fax_number": "240-670-8306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6475 NEW HAMPSHIRE AVE STE 430",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207833277",
            "telephone_number": "240-670-8305",
            "fax_number": "240-670-8306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMEAGWALI",
        "first_name": "JOSEPHINE",
        "middle_name": "CHIBOGU",
        "name_prefix": "Dr.",
        "credential": "DNP FNP-BC, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-11",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DC",
            "license": "RN65139",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R134072",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R134072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyattsville, MD

Sources for this page

Verify at the official NPI Registry.