Individual provider Active NPI

Chinwe Okudo, CRNP DNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1730639535
Registry record updated Oct 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R193702 Issued in MD
Practice address
5440 Belair Rd
Baltimore, MD 21206-4208
Phone
(443) 868-7405
NPI assigned
Oct 5, 2016
Last updated
Oct 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2025

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 R198702 MD
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R193702 MD Primary

Addresses

Primary practice location

5440 Belair Rd
Baltimore, MD 21206-4208

Mailing address

5440 Belair Rd
Baltimore, MD 21206-4208
Phone (443) 868-7405

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
I20170825002266 MD Practitioner - Nurse Practitioner 8022397553 Reassigns benefits to 1 organization

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)

5440 Belair Rd
Baltimore, MD 21206-4208
Phone (443) 868-7405

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R193702MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Balm of Gilead Health & Wellness Center, LLC Psychiatric/Mental Health CurrentSince Apr 17, 2019 Accepting new patients
Balm of Gilead Health & Wellness Center, LLC Past Accepting new patients
Balm of Gilead Health & Wellness Center, LLC Past Accepting new patients
Balm of Gilead Health & Wellness Center, LLC Past Accepting new patients
Balm of Gilead Health & Wellness Center, LLC Past Accepting new patients
Balm of Gilead Health & Wellness Center, LLC Past Accepting new patients
Balm of Gilead Health & Wellness Center, LLC Family Past Accepting new patients

Locations

5440 Belair Rd
Baltimore, MD 21206
Phone (443) 868-7405

107 Beacon Rd
Middle River, MD 21220
Phone (410) 686-9019

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1475625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761177600000",
    "number": "1730639535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5440 BELAIR RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212064208",
            "telephone_number": "443-868-7405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5440 BELAIR RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212064208",
            "telephone_number": "443-868-7405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKUDO",
        "first_name": "CHINWE",
        "name_prefix": "Dr.",
        "credential": "CRNP DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-05",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R198702",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R193702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.