Active NPI
Bobbie Nnodim
- Psychiatric/Mental Health Nurse Practitioner
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- R193493
- Practice address
- 22 S Greene St
Baltimore, MD 21201-1544 - Phone
- (443) 570-4815
- NPI assigned
- Sep 25, 2019
- Last updated
- Mar 23, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | R193493 | MD | Primary |
Addresses
Primary practice location
22 S Greene St
Baltimore, MD 21201-1544
Mailing address
993 Rohe Farm LN
Baltimore, MD 21220-1548
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Empowering Minds Resource Center
Practice addresses (Care Compare)
1800 N Charles St
Suite 600
Baltimore, MD 21201-5990
Phone (443) 379-3852
611 S Union Ave
Havre de Grace, MD 21078-3421
Phone (443) 526-6133
7954 Baltimore Annapolis Blvd
Suite 2E
Glen Burnie, MD 21060-8187
Phone (410) 363-3713
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R193493 | MD | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empowering Minds Resource Center | Current | Accepting new patients | |
| Empowering Minds Resource Center | Current | Accepting new patients | |
| Lawren Healthcare Services | Current | Accepting new patients | |
| Norkris Services, Inc | Psychiatric/Mental Health | Current | Accepting new patients |
Locations
1800 N Charles St
Ste 600
Baltimore, MD 21201
Phone (410) 625-5088
611 S Union Ave
Hvre de Grace, MD 21078
Phone (443) 526-6133
10451 Mill Run Cir
Ste 400
Owings Mills, MD 21117
Phone (443) 219-8482
Organizations & group practices 7
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.
-
- Community/Behavioral Health Agency
- Havre de Grace, MD
- NPI 1487025094
Psychiatric/Mental Health
-
- Community/Behavioral Health Agency
- Baltimore, MD
- NPI 1356203319
-
- Case Management Agency
- Baltimore, MD
- NPI 1356263420
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Baltimore, MD
- NPI 1750204079
-
- Community/Behavioral Health Agency
- Baltimore, MD
- NPI 1861315186
-
- Community/Behavioral Health Agency
- Temple Hills, MD
- NPI 1225738404
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Baltimore, MD
- NPI 1245874338
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584921600000",
"number": "1649821166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "993 ROHE FARM LN",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212201548"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 S GREENE ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212011544",
"telephone_number": "443-570-4815"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NNODIM",
"first_name": "BOBBIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-25",
"last_updated": "2020-03-23",
"certification_date": "2020-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MD",
"license": "R193493",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.