Atola Nnenna Idika

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R210401 Issued in MD

Practice address

4545 Crain Hwy
White Plains, MD 20695-3045

Phone

(301) 609-6700

Fax

(301) 609-6741

NPI assigned

Aug 11, 2020

Last updated

May 11, 2026By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• The Serene Place Behavioral Health

  • Psychiatric/Mental Health Registered Nurse
  • Upper Marlboro, MD
  • NPI 1992641591
  NPD Authorized official
• Incani Health Care

  • Skilled Nursing Facility
  • Upper Marlboro, MD
  • NPI 1841920303
  NPD
• Shine Behavioral Health, LLC

  dba Shine Wellness

  • Psychiatry Physician
  • Severna Park, MD
  • NPI 1255969713

  Psychiatric/Mental Health

  NPD (past)

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

{
    "created_epoch": "1597104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1487265864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1316 MINNESOTA WAY",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207746060",
            "telephone_number": "202-702-6789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 CRAIN HWY",
            "city": "WHITE PLAINS",
            "state": "MD",
            "postal_code": "206953045",
            "telephone_number": "301-609-6700",
            "fax_number": "301-609-6741"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "541 Benfield Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Severna Park",
            "state": "MD",
            "postal_code": "211462523",
            "country_code": "US",
            "telephone_number": "410-513-4513",
            "fax_number": "866-697-4991",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IDIKA",
        "first_name": "ATOLA",
        "middle_name": "NNENNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-11",
        "last_updated": "2026-05-11",
        "certification_date": "2026-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R210401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• House Calls of the District of Columbia Inc
• House of Lucy Gray
• Shannon Howard
• Lisa Hugh, RD
• Charles Larry Hunter II, LGPC
• Imperial Mentoring, LLC (BeMindFul Counseling Center, LLC)
• Intact Counseling Service, LLC
• Integrated Dermatology of White Plains, LLC
• Sheryl Denine Jenkins-Long, LGSW
• Craig Arthur Jeschke, M.D.

• Psychiatric/Mental Health Nurse Practitioner in White Plains, MD
• Providers in White Plains, MD by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; 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.