Victoria M Pender, CRNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R172268 Issued in MD

Practice address

1232 Race Rd Ste 403
Rosedale, MD 21237-2386

Phone

(480) 878-7806

Fax

(443) 732-0054

NPI assigned

Sep 30, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Victoria M Pender-Okome Former name

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, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

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 and National Provider Directory roles.

• Royal Behavioral Health Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Edgewood, MD
  • NPI 1003516626
  Medicare reassignment NPD Authorized official
• Glass Health Programs, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Bel Camp, MD
  • NPI 1689937260
  NPD
• Viewpoint Wellness LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Rosedale, MD
  • NPI 1801492731
  NPD
• Post Acute Health Care Services LLC

  • Acute Care Nurse Practitioner
  • Pikesville, MD
  • NPI 1982423653
  NPD (past)

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

{
    "created_epoch": "1569801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677801600000",
    "number": "1679114755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9840 SAPELO RD",
            "city": "MIDDLE RIVER",
            "state": "MD",
            "postal_code": "212201807",
            "telephone_number": "667-228-1735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1232 RACE RD STE 403",
            "city": "ROSEDALE",
            "state": "MD",
            "postal_code": "212372386",
            "telephone_number": "480-878-7806",
            "fax_number": "443-732-0054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENDER",
        "first_name": "VICTORIA",
        "middle_name": "M",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-30",
        "last_updated": "2023-03-03",
        "certification_date": "2023-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R172268",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MD",
            "license": "R172268",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICTORIA",
            "last_name": "PENDER-OKOME",
            "middle_name": "M",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Kathleen K Pear, LCSW-C
• Annamarie Pemberton, LGPC
• Cabria Perry, LMSW
• Jennifer Lynne Perry, FNP-BC
• Tamara J Peterson, LMSW
• Jermaine Petit, LCPC
• Pfeiffer Chiropractic and Rehab

• Psychiatric/Mental Health Nurse Practitioner in Rosedale, MD
• Providers in Rosedale, 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 Mar 3, 2023; 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.