Individual provider Active NPI

Ivonne Mbone Sona Nwadike, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Bowie, MD
National Provider Identifier
1750882841
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R212180 Issued in MD
Practice address
14300 Gallant Fox LN Ste 204
Bowie, MD 20715-4033
Phone
(240) 423-5690
Fax
(240) 558-6915
NPI assigned
Feb 23, 2018
Last updated
Jan 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN1034535 DC
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R212180 MD Primary

Addresses

Primary practice location

14300 Gallant Fox LN Ste 204
Bowie, MD 20715-4033

Mailing address

2357 Terrapin Xing
Jessup, MD 20794-9830
Phone (240) 423-5690

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20240131004603 DC Practitioner - Nurse Practitioner 0547613044 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

12225 28TH St N
Suite a
St Petersburg, FL 33716-1860

2357 Terrapin Xing
Jessup, MD 20794-9830

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN1034535DCMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Health Care, LLC Current Accepting new patients
Premier Health Care LLC CurrentSince Feb 1, 2024 Accepting new patients
Black Girl Health Foundation Inc CurrentSince Feb 2, 2026 Accepting new patients
Black Girl Health Foundation Inc CurrentSince Feb 2, 2026 Accepting new patients
Primal Mental Health Care LLC CurrentSince Aug 9, 2025 Accepting new patients

Locations

14300 Gallant Fox Ln
Bowie, MD 20715
Phone (240) 423-5690

14300 Gallant Fox Ln
Ste 204
Bowie, MD 20715
Phone (240) 423-5690

5620 Saint Barnabas Rd
Ste 220
Oxon Hill, MD 20745
Phone (240) 299-6285

12073 Tech Rd
Ste B
Silver Spring, MD 20904
Phone (240) 396-5873

Interoperability endpoints

  • Direct secure messaging: inwadike1070781@direct.umm.edu

Organizations & group practices 5

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": "1519344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768867200000",
    "number": "1750882841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2357 TERRAPIN XING",
            "city": "JESSUP",
            "state": "MD",
            "postal_code": "207949830",
            "telephone_number": "240-423-5690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14300 GALLANT FOX LN STE 204",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207154033",
            "telephone_number": "240-423-5690",
            "fax_number": "240-558-6915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWADIKE",
        "first_name": "IVONNE",
        "middle_name": "MBONE SONA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-23",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "DC",
            "license": "RN1034535",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R212180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

Verify at the official NPI Registry.