Vivian A Umeugo, CRNP-PMH

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R190377 Issued in MD

Practice address

9475 Lottsford Rd Ste 250
Upper Marlboro, MD 20774-5346

Phone

(301) 636-6509

NPI assigned

Mar 28, 2018

Last updated

Mar 28, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in DC, MD2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Qci Behavioral Health Consulting Group, LLCGroup PAC ID 3971665969, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Asten Nursing and Behavioral Health LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Largo, MD
  • NPI 1427670090

  DC

  Medicare reassignment NPD Authorized official
• Qci Behavioral Health Consulting Group, LLC

  dba QCI Behavioral Health

  • Social Worker
  • Largo, MD
  • NPI 1154598308

  DC

  Medicare reassignment Care Compare group NPD
• Umaru Labay-Kamara, MD, LLC

  dba Axios Behavioral Health

  • Psychiatry Physician
  • La Plata, MD
  • NPI 1790289890
  Medicare reassignment NPD

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

{
    "created_epoch": "1522195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522195200000",
    "number": "1609371046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11400 BELVIDERE RD",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207212122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9475 LOTTSFORD RD STE 250",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207745346",
            "telephone_number": "301-636-6509"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4475 Regency Pl Ste 205",
            "address_purpose": "LOCATION",
            "city": "White Plains",
            "state": "MD",
            "postal_code": "206953074",
            "country_code": "US",
            "telephone_number": "240-427-3554",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UMEUGO",
        "first_name": "VIVIAN",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "CRNP-PMH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-28",
        "last_updated": "2018-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R190377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nneka Cecilia Ugbogulu
• Joseph Ukwu
• Ultracare Homehealthcare Agency LLC
• Lusciene Ndifor Umeayugho
• Oluchi Umekwe
• Abdullahi Umoru
• Nkeiruka Chinwendu Unaegbu
• Unidos Healing Counseling, LLC
• Unified Healthcare Services LLC
• Unique Home Health Care Services, Inc (None)

• Psychiatric/Mental Health Nurse Practitioner in Upper Marlboro, MD
• Providers in Upper Marlboro, 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 Mar 28, 2018; 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.