Individual provider Active NPI

Rose Conslata Oyugi Okowa, FNP-C

  • Family Nurse Practitioner
  • Clinton, MD
National Provider Identifier
1528803673
Registry record updated Jun 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R208100 Issued in MD
Practice address
7503 Surratts Rd # a
Clinton, MD 20735-3358
Phone
(301) 868-8000
NPI assigned
Jun 29, 2024
Last updated
Jun 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R208100 MD Primary

Addresses

Primary practice location

7503 Surratts Rd # a
Clinton, MD 20735-3358

Mailing address

614 Avocet CT
Essex, MD 21221-1621
Phone (443) 531-9000

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
I20241109000517 MD Practitioner - Nurse Practitioner 7113451451 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Primary NP AssociatesGroup PAC ID 7911248281, 3 clinicians
Medhaven Health LLCGroup PAC ID 2062894280, 2 clinicians

Practice addresses (Care Compare)

110 Painters Mill Rd
Suite 206
Owings Mills, MD 21117-5251
Phone (410) 356-4680

3179 Braverton St
Suite 202
Edgewater, MD 21037-2667
Phone (240) 639-5072

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medhaven Health LLC CurrentSince Nov 1, 2024 Accepting new patients
Primary NP Associates Family CurrentSince Sep 30, 2025 Accepting new patients
Integrated Healthcare Solutions PastSince Sep 21, 2024 Accepting new patients
Ebube E.Odunukwe, M.D.,P.C. PastSince Sep 11, 2011 Accepting new patients

Locations

3179 Braverton St
Ste 202
Edgewater, MD 21037
Phone (240) 515-6550

7310 Ritchie Hwy
Ste 519
Glen Burnie, MD 21061
Phone (301) 501-5779

110 Painters Mill Rd
Ste 206
Owings Mills, MD 21117
Phone (410) 356-4680

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1719619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719619200000",
    "number": "1528803673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 AVOCET CT",
            "city": "ESSEX",
            "state": "MD",
            "postal_code": "212211621",
            "telephone_number": "443-531-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7503 SURRATTS RD # A",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207353358",
            "telephone_number": "301-868-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OYUGI OKOWA",
        "first_name": "ROSE",
        "middle_name": "CONSLATA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-29",
        "last_updated": "2024-06-29",
        "certification_date": "2024-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R208100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, MD

Sources for this page

Verify at the official NPI Registry.