Individual provider Active NPI

Atina Lorene Sullivan, NURSE PRACTITIONER

  • Psychiatric/Mental Health Nurse Practitioner
  • Columbia, MD
National Provider Identifier
1508351024
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R250751 Issued in MD
Practice address
6440 Dobbin Rd Ste D
Columbia, MD 21045-4770
Phone
(410) 730-2385
NPI assigned
Jun 27, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2025

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 R250751 MD Primary

Addresses

Primary practice location

6440 Dobbin Rd Ste D
Columbia, MD 21045-4770

Mailing address

3205 Dorstone PL
Upper Marlboro, MD 20774-8099
Phone (301) 404-8851

Other practice location 1

8507 Oxon Hill Rd Ste 200
Fort Washington, MD 20744-4774
Phone (301) 960-4505

Other names 1

  • Atina L Covington Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20180828001601 MD Practitioner - Nurse Practitioner 2961751722

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Arundel Mental Health Professionals LLC CurrentSince Jul 31, 2022 Accepting new patients
MPB Group Inc CurrentSince Nov 8, 2025 Accepting new patients
MPB Group Inc PastSince Nov 8, 2025 Accepting new patients

Locations

2431 Solomons Island Rd
Ste 200
Annapolis, MD 21401
Phone (410) 916-3464

6440 Dobbin Rd
Ste D
Columbia, MD 21045
Phone (410) 673-4313

Interoperability endpoints

  • Direct secure messaging: mpbgroupinc.atinasullivan@142028.advancedmd-direct.com

Organizations & group practices 3

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": "1530057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761609600000",
    "number": "1508351024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3205 DORSTONE PL",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207748099",
            "telephone_number": "301-404-8851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6440 DOBBIN RD STE D",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210454770",
            "telephone_number": "410-730-2385"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8507 Oxon Hill Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Fort Washington",
            "state": "MD",
            "postal_code": "207444774",
            "country_code": "US",
            "telephone_number": "301-960-4505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "ATINA",
        "middle_name": "LORENE",
        "name_prefix": "Dr.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-27",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R250751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ATINA",
            "last_name": "COVINGTON",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.