Individual provider Active NPI

Florence Ijeoma Amaikwu, DNP PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Silver Spring, MD
National Provider Identifier
1679164750
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R223682 Issued in MD
Practice address
11890 Healing Way
Silver Spring, MD 20904-7917
Phone
(240) 304-4959
Fax
(240) 304-4959
NPI assigned
Feb 1, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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 R223682 MD Primary

Addresses

Primary practice location

11890 Healing Way
Silver Spring, MD 20904-7917

Mailing address

12209 Amblewood Dr
Laurel, MD 20708-3110
Phone (240) 304-4959

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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

Enrollment IDStateProvider typePAC IDDetails
I20210712000279 DC Practitioner - Nurse Practitioner 1759783921 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

12209 Amblewood Dr
Laurel, MD 20708-3110
Phone (240) 304-4959

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R223682MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Integral Psychiatry and Wellness LLC CurrentSince May 25, 2021 Accepting new patients
Open Mind Mental Health Physicians, Inc. CurrentSince Feb 17, 2025 Accepting new patients

Locations

145 W Ostend St
Ste 600
Baltimore, MD 21230
Phone (240) 542-8509

6701 Democracy Blvd
Ste 300
Bethesda, MD 20817
Phone (443) 351-4650

5000 Thayer Ctr
Ste C
Oakland, MD 21550
Phone (410) 397-7100

Organizations & group practices 2

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": "1612137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1679164750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12209 AMBLEWOOD DR",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207083110",
            "telephone_number": "240-304-4959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11890 HEALING WAY",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209047917",
            "telephone_number": "240-304-4959",
            "fax_number": "240-304-4959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMAIKWU",
        "first_name": "FLORENCE",
        "middle_name": "IJEOMA",
        "name_prefix": "Dr.",
        "credential": "DNP  PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-01",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R223682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

Verify at the official NPI Registry.