Individual provider Active NPI

Kenya Blake Codrington, FNP, PMHNP

  • Nurse Practitioner
  • Laurel, MD
National Provider Identifier
1750940466
Registry record updated Apr 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R193409 Issued in MD
Practice address
9110 Stebbing Way Apt J
Laurel, MD 20723-5965
Phone
(443) 583-4332
NPI assigned
Jun 7, 2019
Last updated
Apr 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R193409 MD Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R193409 MD

Addresses

Primary practice location

9110 Stebbing Way Apt J
Laurel, MD 20723-5965

Mailing address

9110 Stebbing Way Apt J
Laurel, MD 20723-5965
Phone (443) 583-4332

Other practice location 1

5438 York Rd Ste 101
Baltimore, MD 21212-3837
Phone (410) 323-2300

Other practice location 2

1822 Pennsylvania Ave
Baltimore, MD 21217-3213
Phone (410) 801-8910

Other practice location 3

11350 Pembrooke Sq Ste 303
Waldorf, MD 20603-4809
Phone (240) 607-2390

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
I20200825002062 MD Practitioner - Nurse Practitioner 1658799911 Practice locations: Laurel, MD

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R193409MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Baltimore Medical Center, Inc. CurrentSince May 19, 2020 Accepting new patients
Greater Baltimore Medical Center, Inc. CurrentSince May 19, 2020 Accepting new patients
Greater Baltimore Medical Center, Inc Current Accepting new patients
Journey Mental Health PastSince Mar 11, 2025 Accepting new patients

Locations

6569 N Charles St
Ste 307
Towson, MD 21204
Phone (443) 849-2767

6569 N Charles St
Ste 505
Towson, MD 21204
Phone (443) 849-2196

Interoperability endpoints

  • Direct secure messaging: kblakecodrington7316@gbmcdirect.org

Organizations & group practices 4

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": "1559865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775779200000",
    "number": "1750940466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9110 STEBBING WAY APT J",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207235965",
            "telephone_number": "443-583-4332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9110 STEBBING WAY APT J",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207235965",
            "telephone_number": "443-583-4332"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5438 York Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212123837",
            "country_code": "US",
            "telephone_number": "410-323-2300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1822 Pennsylvania Ave",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212173213",
            "country_code": "US",
            "telephone_number": "410-801-8910",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11350 Pembrooke Sq Ste 303",
            "address_purpose": "LOCATION",
            "city": "Waldorf",
            "state": "MD",
            "postal_code": "206034809",
            "country_code": "US",
            "telephone_number": "240-607-2390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLAKE CODRINGTON",
        "first_name": "KENYA",
        "credential": "FNP, PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-07",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R193409",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R193409",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

Verify at the official NPI Registry.