Individual provider Active NPI

Juliette Ngwe, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Randallstown, MD
National Provider Identifier
1477140424
Registry record updated Nov 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R177202 Issued in MD
Practice address
4120 Brown Bark Cir
Randallstown, MD 21133-2054
Phone
(443) 838-9921
NPI assigned
Dec 23, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R177202 MD Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 087442-23 NH

Addresses

Primary practice location

4120 Brown Bark Cir
Randallstown, MD 21133-2054

Mailing address

4120 Brown Bark Cir
Randallstown, MD 21133-2054

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, NH2 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
I20210407002455 MD Practitioner - Nurse Practitioner 8123435260 Reassigns benefits to 1 organization
I20230413000450 NH Practitioner - Nurse Practitioner 8123435260 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
State of New HampshireGroup PAC ID 3870530579, 77 clinicians

Practice addresses (Care Compare)

36 Clinton St
Concord, NH 03301-2359
Phone (603) 271-5300

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
State of New Hampshire CurrentSince Dec 29, 2022 Accepting new patients
State of New Hampshire CurrentSince Dec 29, 2022 Accepting new patients
Thrive Counseling LLC Mental Health CurrentSince Jan 25, 2022 Accepting new patients
Aspire Wellness Center, Inc. CurrentSince Mar 15, 2021 Accepting new patients

Locations

5410 Lynx Ln
Ste 285
Columbia, MD 21044
Phone (410) 740-3240

5022 Campbell Blvd
Nottingham, MD 21236
Phone (443) 442-1568

5022 Campbell Blvd
Ste Lm
Nottingham, MD 21236
Phone (443) 442-1568

400 Redland Ct
Ste 107
Owings Mills, MD 21117
Phone (410) 946-1150

36 Clinton St
Concord, NH 03301
Phone (603) 271-5075

1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263

Organizations & group practices 4

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": "1608681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700179200000",
    "number": "1477140424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4120 BROWN BARK CIR",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211332054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4120 BROWN BARK CIR",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211332054",
            "telephone_number": "443-838-9921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGWE",
        "first_name": "JULIETTE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-23",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R177202",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NH",
            "license": "087442-23",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Randallstown, MD

Sources for this page

Verify at the official NPI Registry.