Lydia Naa Kowa Otoo

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R220280 Issued in MD

Practice address

7363 Hidden CV
Columbia, MD 21046-2075

Phone

(301) 537-5039

NPI assigned

Jul 6, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Dynamic Behavioral Services LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Columbia, MD
  • NPI 1184509572
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1593993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1710504899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7363 HIDDEN CV",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210462075",
            "telephone_number": "301-537-5039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7363 HIDDEN CV",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210462075",
            "telephone_number": "301-537-5039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTOO",
        "first_name": "LYDIA",
        "middle_name": "NAA KOWA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-06",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "DC",
            "license": "R1040688",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R220280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ekaterina Osipova, RN
• Muyinat Yewande Osoba
• Yu-Ching Hsiao Ostendorp, LCPC
• Patricia Kay Oswald, CRNP
• Peace C Otigba
• Jennifer Rose Otremba-Gorski, MPT
• Heather N Ott, PT, DPT
• Lisa M Ott, M.S.W.
• Robert Michael Ott, PH.D., L.C.P.C.
• Matthew Ira Otto, L.C.P.C.

• Psychiatric/Mental Health Nurse Practitioner in Columbia, MD
• Providers in Columbia, 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 25, 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.