Individual provider Active NPI

Folasade Alaba, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Bowie, MD
National Provider Identifier
1639895444
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R225288 Issued in MD
Practice address
10709 Vista Gardens Dr
Bowie, MD 20720-4253
Phone
(240) 988-4619
NPI assigned
Oct 13, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R225288 MD Primary

Addresses

Primary practice location

10709 Vista Gardens Dr
Bowie, MD 20720-4253

Mailing address

10709 Vista Gardens Dr
Bowie, MD 20720-4253
Phone (240) 988-4619

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 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

Enrollment IDStateProvider typePAC IDDetails
I20230703001951 MD Practitioner - Nurse Practitioner 4082073499 Reassigns benefits to 2 organizations
I20240820001576 DC Practitioner - Nurse Practitioner 4082073499 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Holistic Touch Healthcare LLCGroup PAC ID 4880017219, 6 clinicians

Practice addresses (Care Compare)

1412 Crain Hwy N
Suite 3a
Glen Burnie, MD 21061-7000
Phone (301) 257-1084

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New Beginnings Mental Health Services LLC CurrentSince Sep 3, 2025 Accepting new patients
Holistic Touch Healthcare LLC Psychiatric/Mental Health CurrentSince May 14, 2023 Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Jul 8, 2024 Accepting new patients
Holistic Touch Healthcare LLC CurrentSince May 14, 2023 Accepting new patients

Locations

1140 3rd St NE
Washington, DC 20002
Phone (202) 935-1033

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

1412 Crain Hwy N
Ste 3A
Glen Burnie, MD 21061
Phone (301) 257-1084

8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598

Organizations & group practices 5

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": "1665619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1639895444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10709 VISTA GARDENS DR",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207204253",
            "telephone_number": "240-988-4619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10709 VISTA GARDENS DR",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207204253",
            "telephone_number": "240-988-4619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALABA",
        "first_name": "FOLASADE",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-13",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R225288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

Verify at the official NPI Registry.