Edith Kplivi, CRNP-PMH

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R148057 Issued in MD

Practice address

28 W Washington St
Hagerstown, MD 21740-6688

Phone

(240) 595-5497

Fax

(240) 720-0342

NPI assigned

Mar 24, 2023

Last updated

Apr 26, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ascape Wellness and Counseling Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Gaithersburg, MD
  • NPI 1942056247
  Authorized official Same address or phone
• Devoted Wellness and Counseling Services LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Hagerstown, MD
  • NPI 1841806718
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1679616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714089600000",
    "number": "1417650706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 W WASHINGTON ST",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217406688",
            "telephone_number": "240-595-5497",
            "fax_number": "240-720-0342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 W WASHINGTON ST",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217406688",
            "telephone_number": "240-595-5497",
            "fax_number": "240-720-0342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KPLIVI",
        "first_name": "EDITH",
        "credential": "CRNP-PMH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-24",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R148057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bindu P Koshy, MD
• Ramakrishna R Kosuri, M.D.
• Stephen Kotch
• Gary Edward Koterwas, DDS
• Mitesh Bharatkimar Kothari, M.D.
• Hanna Kracun
• Richard Edward Kramer, DDS
• Rebecca A Kreps, PA-C
• Alicia Kress, CCC-SLP
• Amber Kress, OT

• Psychiatric/Mental Health Nurse Practitioner in Hagerstown, MD
• Providers in Hagerstown, MD by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.