Active NPI
Catherine Nnedi Nwosu
- Psychiatric/Mental Health Registered Nurse
- Bowie, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Registered Nurse
- License
- RN1041162
- Practice address
- 4311 Fruitwood CT
Bowie, MD 20720-3574 - Phone
- (202) 615-2905
- NPI assigned
- Jun 27, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | NP1041162 | DC | |
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | RN1041162 | DC | Primary |
Addresses
Primary practice location
4311 Fruitwood CT
Bowie, MD 20720-3574
Mailing address
4311 Fruitwood CT
Bowie, MD 20720-3574
Phone (202) 615-2905
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1010 E 33Rd St
Baltimore, MD 21218-3780
Phone 71829843753780
4409 E W Hwy
Riverdale, MD 20737-1058
Phone (718) 298-4375
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN1041162 | DC | MD | Psychiatric/Mental Health Registered Nurse |
| NP1041162 | DC | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Supportive Care of Maryland LLC | Current | Accepting new patients |
Locations
14200 Laurel Park Dr
Laurel, MD 20707
Phone (301) 953-7980
4409 East West Hwy
Riverdale Park, MD 20737
Phone (301) 699-2000
27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951
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": "1687824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745971200000",
"number": "1497431985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4311 FRUITWOOD CT",
"city": "BOWIE",
"state": "MD",
"postal_code": "207203574",
"telephone_number": "202-615-2905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4311 FRUITWOOD CT",
"city": "BOWIE",
"state": "MD",
"postal_code": "207203574",
"telephone_number": "202-615-2905"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NWOSU",
"first_name": "CATHERINE",
"middle_name": "NNEDI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-27",
"last_updated": "2025-04-30",
"certification_date": "2025-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "DC",
"license": "NP1041162",
"primary": false
},
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "DC",
"license": "RN1041162",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bowie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; 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.