Individual provider Active NPI

Courtney Victoria Banks, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Glenn Dale, MD
National Provider Identifier
1477069672
Registry record updated Feb 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R207322 Issued in MD
Practice address
12200 Annapolis Rd Ste 225
Glenn Dale, MD 20769-9182
Phone
(240) 266-5889
Fax
(351) 214-3692
NPI assigned
Dec 26, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 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 R207322 MD Primary

Addresses

Primary practice location

12200 Annapolis Rd Ste 225
Glenn Dale, MD 20769-9182

Mailing address

12200 Annapolis Rd Ste 225
Glenn Dale, MD 20769-9182
Phone (240) 266-5889

Other practice location 1

16701 Melford Blvd Ste 400
Bowie, MD 20715-4411
Phone (240) 266-5889

Other practice location 2

1050 Connecticut Ave NW Ste 500
Washington, DC 20036-5304
Phone (240) 266-5889

Other practice location 3

8280 Willow Oaks Corporate Dr Ste 600
Fairfax, VA 22031-4516
Phone (240) 266-5889

Other practice location 4

10230 New Hampshire Ave Ste 100
Silver Spring, MD 20903-1422
Phone (240) 266-5889

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20180914001306 DC Practitioner - Nurse Practitioner 2365792256 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R207322MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
DMV Psychiatric Wellness, LLC Psychiatric/Mental Health CurrentSince Oct 1, 2025 Accepting new patients

Locations

1050 Connecticut Ave NW
Ste 500
Washington, DC 20036
Phone (202) 596-8891

16701 Melford Blvd
Bowie, MD 20715
Phone (240) 266-5889

16701 Melford Blvd
Ste 400
Bowie, MD 20715
Phone (202) 836-7776

12200 Annapolis Rd
Ste 225
Glenn Dale, MD 20769
Phone (240) 266-5889

8280 Willow Oaks Corporate Dr
Ste 600
Fairfax, VA 22031
Phone (202) 794-7159

Organizations & group practices 1

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": "1514246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771286400000",
    "number": "1477069672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12200 ANNAPOLIS RD STE 225",
            "city": "GLENN DALE",
            "state": "MD",
            "postal_code": "207699182",
            "telephone_number": "240-266-5889",
            "fax_number": "351-214-3692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12200 ANNAPOLIS RD STE 225",
            "city": "GLENN DALE",
            "state": "MD",
            "postal_code": "207699182",
            "telephone_number": "240-266-5889",
            "fax_number": "351-214-3692"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16701 Melford Blvd Ste 400",
            "address_purpose": "LOCATION",
            "city": "Bowie",
            "state": "MD",
            "postal_code": "207154411",
            "country_code": "US",
            "telephone_number": "240-266-5889",
            "fax_number": "351-214-3692",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1050 Connecticut Ave NW Ste 500",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200365304",
            "country_code": "US",
            "telephone_number": "240-266-5889",
            "fax_number": "351-214-3692",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8280 Willow Oaks Corporate Dr Ste 600",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220314516",
            "country_code": "US",
            "telephone_number": "240-266-5889",
            "fax_number": "351-214-3692",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10230 New Hampshire Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Silver Spring",
            "state": "MD",
            "postal_code": "209031422",
            "country_code": "US",
            "telephone_number": "240-266-5889",
            "fax_number": "351-214-3692",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BANKS",
        "first_name": "COURTNEY",
        "middle_name": "VICTORIA",
        "name_prefix": "Ms.",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-26",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R207322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenn Dale, MD

Sources for this page

Verify at the official NPI Registry.