Quinta Manenju

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

RN1034992 Issued in DC

Practice address

11916 Frost Dr
Bowie, MD 20720-4429

Phone

(240) 592-5511

NPI assigned

Jul 18, 2012

Sex

Female

Sole proprietor

Yes

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

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 and National Provider Directory roles.

• Juspen Behavioral Associates.

  • Psychiatry Physician
  • Fort Washingtion, MD
  • NPI 1669015145

  DC

  Medicare reassignment Care Compare group NPD
• Liberty Behavioral Healthcare LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Glenn Dale, MD
  • NPI 1366018764

  DC

  Medicare reassignment Authorized official
• Advance Integrated Health, LLC

  • Multi-Specialty Clinic/Center
  • Bowie, MD
  • NPI 1952934671

  DC

  Medicare reassignment NPD
• Umaru Labay-Kamara, MD, LLC

  • Psychiatry Physician
  • La Plata, MD
  • NPI 1790289890

  MD

  Medicare reassignment NPD
• Advance Integrated Health, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Waldorf, MD
  • NPI 1952976771

  Psychiatric/Mental Health

  NPD (past)
• Juspen Enterprises Incorportated

  • Psychiatry Physician
  • Temple Hills, MD
  • NPI 1154488013
  NPD (past)
• Psychiatric Center Chartered,Inc

  • Psychiatry Physician
  • Washington, DC
  • NPI 1831265131
  NPD (past)

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Juspen Behavioral Associates 5 clinicians

Practice addresses (Care Compare)

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

{
    "created_epoch": "1342569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579824000000",
    "number": "1629323464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11916 FROST DR",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207204429",
            "telephone_number": "240-592-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11916 FROST DR",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207204429",
            "telephone_number": "240-592-5511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9148 Edmonston Rd Apt 303",
            "address_purpose": "LOCATION",
            "city": "Greenbelt",
            "state": "MD",
            "postal_code": "207704387",
            "country_code": "US",
            "telephone_number": "240-592-5511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANENJU",
        "first_name": "QUINTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-18",
        "last_updated": "2020-01-24",
        "certification_date": "2020-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "DC",
            "license": "RN1034992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Abraham Mancho
• Joyce Mango
• Manifesting Peace, Inc.
• Solange Mankah
• Erica Mankele
• Ramel Manley

• All providers in Bowie, MD
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2020; 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.