Active NPI
Juliet Chioma Nwanna, FNP, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Glen Burnie, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- R174657
- Practice address
- 301 Hospital Dr
Glen Burnie, MD 21061-5803 - Phone
- (410) 379-8665
- NPI assigned
- Dec 7, 2021
- Last updated
- Sep 10, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R174657 | MD | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | R174657 | MD | Primary |
Addresses
Primary practice location
301 Hospital Dr
Glen Burnie, MD 21061-5803
Mailing address
110 Irving St NW
Washington, DC 20010-3017
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
407 Malcolm Dr
Westminster, MD 21157-6107
Phone (443) 547-2964
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Clinic, Inc | Current | Accepting new patients | |
| Community Care Health Network LLC | Current | Accepting new patients | |
| Community Clinic, Inc. | Family | Current | Accepting new patients |
| Holistic Care Solutions, LLC | Past | Accepting new patients |
Locations
9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883
312 S 4th St
Ste 700
Louisville, KY 40202
Phone (502) 628-5023
220 Girard St
Ste 100
Gaithersburg, MD 20877
Phone (301) 216-0880
8630 Fenton St
Ste 1200
Silver Spring, MD 20910
Phone (301) 585-1250
8665 Georgia Ave
Silver Spring, MD 20910
Phone (301) 340-7525
Organizations & group practices 6
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.
-
dba Maryland Behavioral Health Clinic
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Westminster, MD
- NPI 1386215705
-
dba CCI Health Services
- Federally Qualified Health Center (FQHC)
- Takoma Park, MD
- NPI 1790730281
DC, Family
-
dba Matrix Medical Network
- Nurse Practitioner
- Nashville, TN
- NPI 1619368842
KY
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Ellicott City, MD
- NPI 1407701469
-
dba CCI Ora Glen Pharmacy
- Community/Retail Pharmacy
- Greenbelt, MD
- NPI 1295560878
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788998400000",
"number": "1639837586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 IRVING ST NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200103017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 HOSPITAL DR",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210615803",
"telephone_number": "410-379-8665"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NWANNA",
"first_name": "JULIET",
"middle_name": "CHIOMA",
"credential": "FNP, PMHNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-12-07",
"last_updated": "2026-09-10",
"certification_date": "2026-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "R174657",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MD",
"license": "R174657",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glen Burnie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; 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.