Individual provider Active NPI

Sandra Tei Nkrumah

  • Psychiatric/Mental Health Nurse Practitioner
  • Rockville, MD
National Provider Identifier
1386489342
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R234963 Issued in MD
Practice address
14901 Broschart Rd
Rockville, MD 20850-3318
Phone
(732) 668-9965
NPI assigned
Jul 1, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

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 R234963 MD Primary

Addresses

Primary practice location

14901 Broschart Rd
Rockville, MD 20850-3318

Mailing address

4533 Monrovia Blvd
Monrovia, MD 21770-6019
Phone (732) 668-9962

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
I20250707000157 DC Practitioner - Nurse Practitioner 4587178264 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R234963MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Access Care LLC CurrentSince Aug 29, 2025 Accepting new patients
Grace and Mercy Community Services Incorporated Single Specialty CurrentSince Apr 24, 2025 Accepting new patients

Locations

4601 Presidents Dr
Ste 232
Lanham, MD 20706
Phone (202) 359-9725

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": "1719792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1386489342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4533 MONROVIA BLVD",
            "city": "MONROVIA",
            "state": "MD",
            "postal_code": "217706019",
            "telephone_number": "732-668-9962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14901 BROSCHART RD",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503318",
            "telephone_number": "732-668-9965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NKRUMAH",
        "first_name": "SANDRA",
        "middle_name": "TEI",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-01",
        "last_updated": "2024-07-01",
        "certification_date": "2024-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R234963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.