Active NPI
Gabtel Health Care LLC
- Psychiatric/Mental Health Nurse Practitioner
- Edgewater, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- GABTEL HEALTH CARE LLC
- Practice address
- 20 Mayo Rd Ste 201
Edgewater, MD 21037-1442 - Phone
- (240) 645-3674
- NPI assigned
- Jun 12, 2023
- Organization subpart
- Yes
- Parent organization
- GABTEL HEALTH CARE LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Perpetua Nnenna Anthony, FNP/PMHNP
- Title
- Pmhnp
- Phone
- (240) 645-3674
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
20 Mayo Rd Ste 201
Edgewater, MD 21037-1442
Mailing address
11905 Frost Dr
Bowie, MD 20720-4430
Phone (240) 645-3674
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Gabtel Health Care LLC
- Part of
- Gabtel Health Care LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Family Nurse Practitioner
- Edgewater, MD
- NPI 1619677804
Locations
20 Mayo Rd
Edgewater, MD 21037
Phone (410) 544-2500
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Family Nurse Practitioner
- Edgewater, MD
- NPI 1619677804
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Edgewater, MD
- NPI 1083142442
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686528000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1711497600000",
"number": "1417631433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11905 FROST DR",
"city": "BOWIE",
"state": "MD",
"postal_code": "207204430",
"telephone_number": "240-645-3674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 MAYO RD STE 201",
"city": "EDGEWATER",
"state": "MD",
"postal_code": "210371442",
"telephone_number": "240-645-3674"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GABTEL HEALTH CARE LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "GABTEL HEALTH CARE LLC",
"enumeration_date": "2023-06-12",
"last_updated": "2024-03-27",
"certification_date": "2024-03-27",
"status": "A",
"authorized_official_last_name": "ANTHONY",
"authorized_official_first_name": "PERPETUA",
"authorized_official_middle_name": "NNENNA",
"authorized_official_title_or_position": "PMHNP",
"authorized_official_telephone_number": "240-645-3674",
"authorized_official_credential": "FNP/PMHNP"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edgewater, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.