Individual provider Active NPI

Leah N Chibikom

  • Psychiatric/Mental Health Nurse Practitioner
  • Washington, DC
National Provider Identifier
1548091986
Registry record updated Jul 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
NP1050187 Issued in DC
Practice address
4660 Martin Luther King Jr Ave SW Ste A1
Washington, DC 20032-4958
Phone
(202) 318-0179
NPI assigned
Aug 8, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN1050187 DC
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R236027 MD
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NP1050187 DC Primary

Addresses

Primary practice location

4660 Martin Luther King Jr Ave SW Ste A1
Washington, DC 20032-4958

Mailing address

1034 Burns St SE
Washington, DC 20019-3004
Phone (202) 391-6001

Other practice location 1

1034 Burns St SE
Washington, DC 20019-3004
Phone (202) 391-6001

Other practice location 2

411A Dorchester Ave
Cambridge, MD 21613-2421
Phone (301) 805-8100

Other practice location 3

11902 Pleasant Prospect Rd
Bowie, MD 20721-2507
Phone (301) 805-8100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RN1050187DCMDRegistered Nurse
NP1050187DCMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness Healthcare Clinics. LLC CurrentSince Sep 23, 2024 Accepting new patients

Locations

4660 Martin Luther King Jr Ave SW
Ste A3
Washington, DC 20032
Phone (202) 318-0179

4660 Martin Luther King Jr Ave SW
Ste A1
Washington, DC 20032
Phone (202) 310-0179

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": "1723075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785456000000",
    "number": "1548091986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1034 BURNS ST SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200193004",
            "telephone_number": "202-391-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4660 MARTIN LUTHER KING JR AVE SW STE A1",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200324958",
            "telephone_number": "202-318-0179"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1034 Burns St SE",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200193004",
            "country_code": "US",
            "telephone_number": "202-391-6001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "411A Dorchester Ave",
            "address_purpose": "LOCATION",
            "city": "Cambridge",
            "state": "MD",
            "postal_code": "216132421",
            "country_code": "US",
            "telephone_number": "301-805-8100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11902 Pleasant Prospect Rd",
            "address_purpose": "LOCATION",
            "city": "Bowie",
            "state": "MD",
            "postal_code": "207212507",
            "country_code": "US",
            "telephone_number": "301-805-8100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHIBIKOM",
        "first_name": "LEAH",
        "middle_name": "N",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-08",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "DC",
            "license": "RN1050187",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R236027",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "DC",
            "license": "NP1050187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.