Individual provider Active NPI

Veronica Kwegyir-Afful, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Columbia, MD
National Provider Identifier
1689109795
Registry record updated Nov 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R187852 Issued in MD
Practice address
8830 Stanford Blvd Ste Ll140
Columbia, MD 21045-5451
Phone
(410) 200-9200
Fax
(410) 412-8494
NPI assigned
Apr 26, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R187852 MD
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R187852 MD Primary

Addresses

Primary practice location

8830 Stanford Blvd Ste Ll140
Columbia, MD 21045-5451

Mailing address

7327 Elbridge CT
Jessup, MD 20794-8705
Phone (443) 636-0983

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170705003136 MD Practitioner - Nurse Practitioner 4082886122 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8830 Stanford Blvd
Suite Ll140
Columbia, MD 21045-5451
Phone (443) 953-8767

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R187852MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kavn Health Family CurrentSince Oct 4, 2024 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Sound Wellness Behavioral Health Center Inc PastSince Sep 1, 2022 Accepting new patients

Locations

8830 Stanford Blvd
Ste LL140
Columbia, MD 21045
Phone (443) 953-8767

5850 Waterloo Rd
Ste 140
Columbia, MD 21045
Phone (301) 526-7249

Organizations & group practices 4

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": "1493164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732665600000",
    "number": "1689109795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7327 ELBRIDGE CT",
            "city": "JESSUP",
            "state": "MD",
            "postal_code": "207948705",
            "telephone_number": "443-636-0983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8830 STANFORD BLVD STE LL140",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210455451",
            "telephone_number": "410-200-9200",
            "fax_number": "410-412-8494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWEGYIR-AFFUL",
        "first_name": "VERONICA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-26",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R187852",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R187852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.