Rosemary O Okpulor, CRNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R119102 Issued in MD

Practice address

1703 E Joppa Rd Ste a
Parkville, MD 21234-3638

Phone

(443) 234-0996

Fax

(443) 645-5863

NPI assigned

Jun 11, 2018

Last updated

May 31, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

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 1

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Tidemark Intervention ServicesGroup PAC ID 7911317441, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Nurse Practitioner

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.

• Sitas Mental Health Services

  • Psychiatric/Mental Health Nurse Practitioner
  • Parkville, MD
  • NPI 1023872769

  Single Specialty

  Medicare reassignment NPD Authorized official
• Tidemark Intervention Services

  • Clinical Social Worker
  • Baltimore, MD
  • NPI 1720595242

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Tidemark Intervention Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baltimore, MD
  • NPI 1174235691
  NPD
• Post Acute Health Care Services LLC

  • Acute Care Nurse Practitioner
  • Pikesville, MD
  • NPI 1982423653

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1528675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717113600000",
    "number": "1649763053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9046 NAYGALL RD",
            "city": "PARKVILLE",
            "state": "MD",
            "postal_code": "212341334",
            "telephone_number": "443-234-0996",
            "fax_number": "443-645-5863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1703 E JOPPA RD STE A",
            "city": "PARKVILLE",
            "state": "MD",
            "postal_code": "212343638",
            "telephone_number": "443-234-0996",
            "fax_number": "443-645-5863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKPULOR",
        "first_name": "ROSEMARY",
        "middle_name": "O",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-11",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R119102",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R119102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oakcrest Village (skilled nursing fac.)
• Ashley Oakes, LCSW-C
• Opeyemi Temitope-Anita Obayemi
• Ogechi Ogbonna
• Nneoma Okezie
• On Site Dermatology Associates LLC
• Adekunle Onalaja, BS
• Helen Nkiruka Onyeuba
• Valerie Esteban Ortaleza, PT, DPT
• Lauren Mae Osgoodby

• Psychiatric/Mental Health Nurse Practitioner in Parkville, MD
• Providers in Parkville, 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 May 31, 2024; 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.