Individual provider Active NPI

Fobella Anyiji Nzobella

  • Psychiatric/Mental Health Nurse Practitioner
  • Laurel, MD
National Provider Identifier
1750164521
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R222484 Issued in MD
Practice address
13994 Baltimore Ave
Laurel, MD 20707-5087
Phone
(410) 501-0529
NPI assigned
Aug 16, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R222484 MD Primary

Addresses

Primary practice location

13994 Baltimore Ave
Laurel, MD 20707-5087

Mailing address

13994 Baltimore Ave
Laurel, MD 20707-5087
Phone (410) 501-0529

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
I20240503003016 MD Practitioner - Nurse Practitioner 1951741180 Reassigns benefits to 4 organizations
I20240513002538 DC Practitioner - Nurse Practitioner 1951741180 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrahealth LLCGroup PAC ID 3678911625, 47 clinicians

Practice addresses (Care Compare)

200 Civic Ave
Salisbury, MD 21804-4599
Phone (410) 749-1466

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R222484MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Toller Enterprises LLC Psychiatric/Mental Health CurrentSince Sep 28, 2024 Accepting new patients
Supreme Treatment Center Inc CurrentSince Apr 16, 2025 Accepting new patients
Spiritual Healing Psychiatric/Mental Health CurrentSince Oct 6, 2024 Accepting new patients
Integrahealth LLC Psychiatric/Mental Health CurrentSince Apr 1, 2024 Accepting new patients
Integrahealth LLC Psychiatric/Mental Health Current Accepting new patients
Integrahealth LLC Psychiatric/Mental Health CurrentSince Apr 1, 2024 Accepting new patients

Locations

1500 K St NW
Ste 200
Washington, DC 20005
Phone (667) 207-3552

821 N Charles St
Baltimore, MD 21201
Phone (443) 452-9612

2232 E Monument St
Baltimore, MD 21205
Phone (667) 207-3552

10 N Rock Glen Rd
Baltimore, MD 21229
Phone (410) 646-2100

9175 Guilford Rd
Ste 300
Columbia, MD 21046
Phone (301) 213-2129

3210 Powder Mill Rd
Hyattsville, MD 20783
Phone (301) 937-3939

9722 Groffs Mill Dr
Owings Mills, MD 21117
Phone (410) 205-9255

200 Civic Ave
Salisbury, MD 21804
Phone (410) 749-1466

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1692144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1750164521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13994 BALTIMORE AVE",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207075087",
            "telephone_number": "410-501-0529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13994 BALTIMORE AVE",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207075087",
            "telephone_number": "410-501-0529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANYIJI NZOBELLA",
        "first_name": "FOBELLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-16",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R222484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

Verify at the official NPI Registry.