Individual provider Active NPI

Ramatu Ibrahim, CRNP-PMH

  • Psychiatric/Mental Health Nurse Practitioner
  • Laurel, MD
National Provider Identifier
1679367379
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R205339 Issued in MD
Practice address
12600 Ivory Pass
Laurel, MD 20708-2442
Phone
(571) 244-1436
NPI assigned
Apr 7, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R205339 MD
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R205339 MD Primary

Addresses

Primary practice location

12600 Ivory Pass
Laurel, MD 20708-2442

Mailing address

12600 Ivory Pass
Laurel, MD 20708-2442
Phone (571) 244-1436

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 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
I20251106002439 DC Practitioner - Nurse Practitioner 1951891175 Reassigns benefits to 4 organizations
I20251208003944 MD Practitioner - Nurse Practitioner 1951891175 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

12600 Ivory Pass
Laurel, MD 20708-2442

1500 K St NW
Suite 200
Washington, DC 20005-1264

2232 E Monument St
Baltimore, MD 21205-2431

6301 Ivy LN
Suite 700A05
Greenbelt, MD 20770-1402

9722 Groffs Mill Dr
Owings Mills, MD 21117-6341

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R205339MDMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alluna Health LLC Psychiatric/Mental Health CurrentSince Oct 24, 2025 Accepting new patients
Toller Enterprises LLC Psychiatric/Mental Health CurrentSince Nov 1, 2025 Accepting new patients
Integrahealth LLC Psychiatric/Mental Health CurrentSince Dec 10, 2025 Accepting new patients
Toller Enterprises LLC CurrentSince Nov 1, 2025 Accepting new patients
Spiritual Healing Psychiatric/Mental Health CurrentSince Nov 1, 2025 Accepting new patients

Locations

1500 K St NW
Ste 200
Washington, DC 20005
Phone (667) 207-3552

2232 E Monument St
Baltimore, MD 21205
Phone (667) 207-3552

10 N Rock Glen Rd
Baltimore, MD 21229
Phone (410) 646-2100

6301 Ivy Ln
Ste 700
Greenbelt, MD 20770
Phone (301) 220-0029

3210 Powder Mill Rd
Hyattsville, MD 20783
Phone (301) 937-3939

9722 Groffs Mill Dr
Owings Mills, MD 21117
Phone (410) 205-9255

200 Civic Ave
Salisbury, MD 21804
Phone (410) 749-1466

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1743984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743984000000",
    "number": "1679367379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12600 IVORY PASS",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207082442",
            "telephone_number": "571-244-1436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12600 IVORY PASS",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207082442",
            "telephone_number": "571-244-1436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBRAHIM",
        "first_name": "RAMATU",
        "credential": "CRNP-PMH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-07",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R205339",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R205339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

Verify at the official NPI Registry.