Individual provider Active NPI

Rhoda Palmira Ndamukong, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Waldorf, MD
National Provider Identifier
1477017085
Registry record updated Feb 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R199268 Issued in MD
Practice address
3261 Old Washington Rd Ste 3010
Waldorf, MD 20602-3229
Phone
(855) 527-7246
Fax
(866) 229-5063
NPI assigned
Jan 28, 2019
Last updated
Feb 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R199268 MD Primary

Addresses

Primary practice location

3261 Old Washington Rd Ste 3010
Waldorf, MD 20602-3229

Mailing address

4449 Crain Hwy
White Plains, MD 20695-3046
Phone (202) 302-4671

Other practice location 1

251 National Harbor Blvd Ste 501
Oxon Hill, MD 20745-1052
Phone (855) 527-7246

Other practice location 2

4449 Crain Hwy
White Plains, MD 20695-3046
Phone (202) 302-4671

Other practice location 3

8040 Georgia Ave Ste 170
Silver Spring, MD 20910-4959
Phone (202) 360-4787

Other identifiers 1

IdentifierTypeStateIssuer
R199268OtherMDNURSE PRACTITIONER

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20190618000829 MD Practitioner - Nurse Practitioner 1052644424 Reassigns benefits to 3 organizations
I20190618001304 DC Practitioner - Nurse Practitioner 1052644424 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Axis Healthcare GroupGroup PAC ID 1254409550, 76 clinicians

Practice addresses (Care Compare)

1150 Varnum St NE
Washington, DC 20017-2180
Phone (202) 360-4787

120 Sallitt Dr
Suite D
Stevensville, MD 21666-2154
Phone (410) 571-2946

19801 Observation Dr
Germantown, MD 20876-4070
Phone (443) 693-7246

251 National Harbor Blvd
Suite 501
Oxon Hill, MD 20745-1052
Phone (855) 527-7246

7503 Surratts Rd
Clinton, MD 20735-3358
Phone (202) 360-4787

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R199268MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Axis Healthcare Group CurrentSince Sep 15, 2025 Accepting new patients
Advanced Pain Management Specialists, LLC CurrentSince Apr 23, 2019 Accepting new patients
Advanced Pain Management Specialists, LLC CurrentSince Apr 23, 2019 Accepting new patients
All Dimensions Behavioral Health LLC CurrentSince Apr 4, 2022 Accepting new patients
All Dimensions Behavioral Health LLC Past Accepting new patients
All Dimensions Behavioral Health LLC Past Accepting new patients
All Dimensions Behavioral Health, LLC Past Accepting new patients
All Dimensions Behavioral Health LLC Past Accepting new patients
Advanced Pain Management Specialists, LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
MCS, PC Psychiatric/Mental Health Past Accepting new patients
All Dimensions Behavioral Health LLC Past Accepting new patients

Locations

1150 Varnum St NE
Washington, DC 20017
Phone (202) 269-7000

201 Defense Hwy
Ste 205
Annapolis, MD 21401

810 Bestgate Rd
Ste 220
Annapolis, MD 21401
Phone (800) 997-2460

19801 Observation Dr
Germantown, MD 20876
Phone (301) 557-5928

25500 Point Lookout Rd
Leonardtown, MD 20650
Phone (301) 475-6106

251 National Harbor Blvd
Ste 501
Oxon Hill, MD 20745

8040 Georgia Ave
Ste 170
Silver Spring, MD 20910
Phone (888) 543-5550

120 Sallitt Dr
#D
Stevensville, MD 21666
Phone (410) 923-2714

3261 Old Washington Rd
Ste 3010
Waldorf, MD 20602
Phone (301) 645-9551

4449 Crain Hwy
White Plains, MD 20695
Phone (240) 289-5313

Interoperability endpoints

  • Direct secure messaging: rhoda.ndamukong.1@11679.direct.athenahealth.com

Organizations & group practices 12

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1548633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770336000000",
    "number": "1477017085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4449 CRAIN HWY",
            "city": "WHITE PLAINS",
            "state": "MD",
            "postal_code": "206953046",
            "telephone_number": "202-302-4671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3261 OLD WASHINGTON RD STE 3010",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206023229",
            "telephone_number": "855-527-7246",
            "fax_number": "866-229-5063"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "251 National Harbor Blvd Ste 501",
            "address_purpose": "LOCATION",
            "city": "Oxon Hill",
            "state": "MD",
            "postal_code": "207451052",
            "country_code": "US",
            "telephone_number": "855-527-7246",
            "fax_number": "866-229-5063",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4449 Crain Hwy",
            "address_purpose": "LOCATION",
            "city": "White Plains",
            "state": "MD",
            "postal_code": "206953046",
            "country_code": "US",
            "telephone_number": "202-302-4671",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8040 Georgia Ave Ste 170",
            "address_purpose": "LOCATION",
            "city": "Silver Spring",
            "state": "MD",
            "postal_code": "209104959",
            "country_code": "US",
            "telephone_number": "202-360-4787",
            "fax_number": "202-360-4787",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NDAMUKONG",
        "first_name": "RHODA",
        "middle_name": "PALMIRA",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-28",
        "last_updated": "2026-02-06",
        "certification_date": "2026-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R199268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONER",
            "identifier": "R199268",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waldorf, MD

Sources for this page

Verify at the official NPI Registry.