Dominique Pope, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R210646 Issued in MD

Practice address

4914 Orchard Dr
Ellicott City, MD 21043-6725

Phone

(443) 851-6992

NPI assigned

Jan 18, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Healthwell, NP LLCGroup PAC ID 4880924760, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/25816/brand/1/csg/1/fhir/r4

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.

• Grounded Guidance Psychiatry and Wellness, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Ellicott City, MD
  • NPI 1265207310
  Medicare reassignment NPD Authorized official
• Healthwell, NP LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Brooklyn, MD
  • NPI 1467009423
  Medicare reassignment Care Compare group NPD
• Amber Health Care LLC

  • Family Nurse Practitioner
  • Baltimore, MD
  • NPI 1881584704
  NPD (past)
• Oasis RX Solutions, LLC

  • Case Manager/Care Coordinator
  • Ellicott City, MD
  • NPI 1053155127
  NPD (past)
• The Resource Group

  • Cognitive & Behavioral Psychologist
  • Towson, MD
  • NPI 1235271339
  NPD (past)

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

{
    "created_epoch": "1674000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1700591385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9091 SNOWDEN RIVER PKWY # 11196",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210461657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4914 ORCHARD DR",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210436725",
            "telephone_number": "443-851-6992"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3701 Old Court Rd Ste 4A",
            "address_purpose": "LOCATION",
            "city": "Pikesville",
            "state": "MD",
            "postal_code": "212083901",
            "country_code": "US",
            "telephone_number": "443-898-6622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POPE",
        "first_name": "DOMINIQUE",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-18",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R210646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caroline H Poblete, M.D.
• Dwight A Polk, LCSW-C
• Kelly Pool, MA, CCC-SLP
• Melisa Lee Pool, LCSW-C
• Brenae Catherine Pope
• Grace Margaret Potkovac, CCC-SLP
• Asha G Potti, M.D
• Lauren Powers
• PP and M Ventures
• Jennifer Schwalbe Prabhu, M.D.

• Psychiatric/Mental Health Nurse Practitioner in Ellicott City, MD
• Providers in Ellicott City, 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 Jan 29, 2024; 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.