Korlu Wolobah-Kuyon

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R133750 Issued in MD

Practice address

7836 Oakwood Rd Ste a
Glen Burnie, MD 21061-4298

Phone

(410) 768-6011

Fax

(410) 929-8180

NPI assigned

Nov 11, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Korlu Wolobah Kamara Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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.

• First-Care Wellness & Medical Services

  dba First-Care Family Clinic

  • Family Nurse Practitioner
  • Glen Burnie, MD
  • NPI 1689221376
  Medicare reassignment Authorized official
• First-Care Wellness & Medical Services

  • Psychiatric/Mental Health Nurse Practitioner
  • Glen Burnie, MD
  • NPI 1184216251
  Authorized official Same address or phone
• Women Kids & Teens Afterhours

  dba WKTA-Pediatrics

  • Pediatrics Physician
  • Silver Spring, MD
  • NPI 1346595824
  NPD (past)

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

{
    "created_epoch": "1447200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606608000000",
    "number": "1437522539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3739 CASTLE TER",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209044703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7836 OAKWOOD RD STE A",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210614298",
            "telephone_number": "410-768-6011",
            "fax_number": "410-929-8180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLOBAH-KUYON",
        "first_name": "KORLU",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-11",
        "last_updated": "2020-11-29",
        "certification_date": "2020-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R133750",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024178434",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R133750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KORLU",
            "last_name": "KAMARA",
            "middle_name": "WOLOBAH",
            "credential": "CRNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Edith Winters
• David Bruce Woehlke, OD
• Mikias Wolde, PA-C
• Nicholas Adam Wolf, NP-C
• Stacey Nicole Wolf, CRNA
• Women's Health Services of Maryland, LLC
• Mary Louise Wong
• T. Joe Wongananda
• Woo Physical Therapy and Wellness
• Alexandra Woo, DMD

• Psychiatric/Mental Health Nurse Practitioner in Glen Burnie, MD
• Providers in Glen Burnie, 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 Nov 29, 2020; 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.