Individual provider Active NPI

Nkechi Okwara

  • Adult Health Nurse Practitioner
  • Glenn Dale, MD
National Provider Identifier
1699162016
Registry record updated Apr 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
R113209 Issued in MD
Practice address
12200 Annapolis Rd Ste 316
Glenn Dale, MD 20769-9182
Phone
(301) 313-0600
Fax
(301) 383-0478
NPI assigned
Apr 23, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X R113209 MD Primary

Addresses

Primary practice location

12200 Annapolis Rd Ste 316
Glenn Dale, MD 20769-9182

Mailing address

12200 Annapolis Rd Ste 316
Glenn Dale, MD 20769-9182
Phone (301) 313-0600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 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
I20150903000166 MD Practitioner - Nurse Practitioner 5496061616 Reassigns benefits to 2 organizations
I20150928000545 DC Practitioner - Nurse Practitioner 5496061616 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inclusive Health CorporationGroup PAC ID 9830379320, 2 clinicians

Practice addresses (Care Compare)

12200 Annapolis Rd
Glenn Dale, MD 20769-9182
Phone (301) 313-0600

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Five Star Physician Services, LLC CurrentSince Jun 15, 2019 Accepting new patients
Inclusive Health Corporation CurrentSince Jul 22, 2015 Accepting new patients

Locations

8700 Jones Mill Rd
Chevy Chase, MD 20815
Phone (301) 350-5555

9106 Pine View Ln
Clinton, MD 20735
Phone (301) 856-2930

12200 Annapolis Rd
Ste 316
Glenn Dale, MD 20769
Phone (301) 313-0600

785 Elkridge Landing Rd
Ste 300
Linthicum Heights, MD 21090
Phone (443) 323-3014

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": "1429747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429747200000",
    "number": "1699162016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12200 ANNAPOLIS RD STE 316",
            "city": "GLENN DALE",
            "state": "MD",
            "postal_code": "207699182",
            "telephone_number": "301-313-0600",
            "fax_number": "301-383-0478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12200 ANNAPOLIS RD STE 316",
            "city": "GLENN DALE",
            "state": "MD",
            "postal_code": "207699182",
            "telephone_number": "301-313-0600",
            "fax_number": "301-383-0478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKWARA",
        "first_name": "NKECHI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-23",
        "last_updated": "2015-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MD",
            "license": "R113209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenn Dale, MD

Sources for this page

Verify at the official NPI Registry.