Godwina Pamela Odigie

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R158859 Issued in MD

Practice address

9331 Liberty Rd Ste 2A9331
Randallstown, MD 21133-3525

Phone

(443) 982-3052

NPI assigned

Jun 29, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• N/a N/a N/a Other name

Medicare fee-for-service enrollment

Enrolled in MD, DC2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Toller Enterprises, LLCGroup PAC ID 8628481926, 63 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Toller Enterprises LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Baltimore, MD
  • NPI 1821697533

  DC, MD, Psychiatric/Mental Health

  Medicare reassignment Care Compare group NPD
• Apex Healthcare, LLC

  • Internal Medicine Physician
  • Towson, MD
  • NPI 1144973124

  DC, MD

  Medicare reassignment NPD
• Integrahealth LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Baltimore, MD
  • NPI 1740049568

  MD, Psychiatric/Mental Health

  Medicare reassignment NPD
• Olympus Health Care LLC

  • Community/Behavioral Health Agency
  • Baltimore, MD
  • NPI 1285473991

  MD

  Medicare reassignment NPD
• Spiritual Healing

  • Psychiatric/Mental Health Nurse Practitioner
  • Baltimore, MD
  • NPI 1003502337

  DC, MD, Psychiatric/Mental Health

  Medicare reassignment NPD
• Bright Mind Mental Health Clinic LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Randallstown, MD
  • NPI 1275405128

  Psychiatric/Mental Health

  NPD Authorized official
• Integrahealth LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Rockville, MD
  • NPI 1194513234

  DC

  Medicare reassignment
• Apex Healthcare, LLC

  • Pulmonary Disease Physician
  • Towson, MD
  • NPI 1760368724
  NPD
• Integrahealth LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Forest Hill, MD
  • NPI 1598524308

  Psychiatric/Mental Health

  NPD
• Integrahealth LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Baltimore, MD
  • NPI 1932968856

  Psychiatric/Mental Health

  NPD
• Spiritual Healing

  • Pain Management Registered Nurse
  • Baltimore, MD
  • NPI 1982399218
  NPD
• Toller Enterprises LLC

  • Pain Management Registered Nurse
  • Baltimore, MD
  • NPI 1821694084
  NPD

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

{
    "created_epoch": "1687996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1447937792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9331 LIBERTY RD STE 2A9331",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211333525",
            "telephone_number": "443-982-3052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9331 LIBERTY RD STE 2A9331",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211333525",
            "telephone_number": "443-982-3052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODIGIE",
        "first_name": "GODWINA",
        "middle_name": "PAMELA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-29",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R158859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "N/A",
            "last_name": "N/A",
            "middle_name": "N/A",
            "credential": "CRNP-PMH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Victorine B Nyamsenkwen, HHA
• Latia Irene O'Banner, R.N.
• Murray Iyke Obanye
• Angela Ochulo
• Ephraim Ocloo
• Pamela Jumah Ogeya, FNP
• Comfort B Ogunlowo
• Ojuola Public Health Consulting
• Ann N Okenkpa
• Gilbert Uchenna Okonkwo Jr

• All providers in Randallstown, MD
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.