Individual provider Active NPI

Sharon Okeke-Phillip

  • Family Nurse Practitioner
  • Odenton, MD
National Provider Identifier
1467151068
Registry record updated Mar 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R218377 Issued in MD
Practice address
670 Lions Gate LN
Odenton, MD 21113-2416
Phone
(302) 272-1976
NPI assigned
Mar 2, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R218377 MD Primary

Addresses

Primary practice location

670 Lions Gate LN
Odenton, MD 21113-2416

Mailing address

670 Lions Gate LN
Odenton, MD 21113-2416
Phone (302) 272-1976

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 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

Enrollment IDStateProvider typePAC IDDetails
I20240503001046 DC Practitioner - Nurse Practitioner 7911347208 Reassigns benefits to 1 organization
I20241116000096 MD Practitioner - Nurse Practitioner 7911347208 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Maryland Family Care IncGroup PAC ID 5092629394, 157 clinicians

Practice addresses (Care Compare)

7602 Belair Rd
Baltimore, MD 21236-4088
Phone (410) 663-8100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R218377MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ravi Passi MD PC CurrentSince Mar 2, 2024 Accepting new patients
Maryland Family Care, Inc. CurrentSince Jan 15, 2026 Accepting new patients

Locations

848 S Rolling Rd
Catonsville, MD 21228
Phone (301) 527-1650

7602 Belair Rd
Nottingham, MD 21236
Phone (410) 332-9654

15245 Shady Grove Rd
Ste 130
Rockville, MD 20850
Phone (301) 527-1650

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": "1677715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677715200000",
    "number": "1467151068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 LIONS GATE LN",
            "city": "ODENTON",
            "state": "MD",
            "postal_code": "211132416",
            "telephone_number": "302-272-1976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 LIONS GATE LN",
            "city": "ODENTON",
            "state": "MD",
            "postal_code": "211132416",
            "telephone_number": "302-272-1976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKEKE-PHILLIP",
        "first_name": "SHARON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-02",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R218377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Odenton, MD

Sources for this page

Verify at the official NPI Registry.