Carlson Nchiazeh Nkemnkeng, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R210108 Issued in MD

Practice address

6305 Oglethorpe Mill Dr
Brandywine, MD 20613-5693

Phone

(240) 486-4976

NPI assigned

Jul 5, 2012

Sex

Male

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 DC, MD2 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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Spiritual HealingGroup PAC ID 7113388802, 22 clinicians

Toller Enterprises, LLCGroup PAC ID 8628481926, 63 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Spiritual Healing

  • Psychiatric/Mental Health Nurse Practitioner
  • Baltimore, MD
  • NPI 1003502337

  DC

  Medicare reassignment Care Compare group NPD
• Toller Enterprises LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Baltimore, MD
  • NPI 1821697533

  DC

  Medicare reassignment Care Compare group NPD
• Royal Mental Health Clinic LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Brandywine, MD
  • NPI 1699546549
  NPD Authorized official
• Integrahealth LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Rockville, MD
  • NPI 1194513234

  DC

  Medicare reassignment
• Integrahealth LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Baltimore, MD
  • NPI 1740049568
  Medicare reassignment
• Integrahealth LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Forest Hill, MD
  • NPI 1598524308
  NPD
• Integrahealth LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Baltimore, MD
  • NPI 1932968856
  NPD
• Spiritual Healing

  • Pain Management Registered Nurse
  • Baltimore, MD
  • NPI 1982399218
  NPD
• Toller Enterprises LLC

  • Pain Management Registered Nurse
  • Baltimore, MD
  • NPI 1821694084
  NPD
• Blue Sky Mental Health Clinic LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Laurel, MD
  • NPI 1467372623
  NPD (past)
• Kannan and Associates PC

  • Internal Medicine Physician
  • Silver Spring, MD
  • NPI 1225329956
  NPD (past)

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

{
    "created_epoch": "1341446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1770848871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6305 OGLETHORPE MILL DR",
            "city": "BRANDYWINE",
            "state": "MD",
            "postal_code": "206135693",
            "telephone_number": "240-486-4976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6305 OGLETHORPE MILL DR",
            "city": "BRANDYWINE",
            "state": "MD",
            "postal_code": "206135693",
            "telephone_number": "240-486-4976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NKEMNKENG",
        "first_name": "CARLSON",
        "middle_name": "NCHIAZEH",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-05",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R210108",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R210108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keeana Nazien
• Delphine Ngoe Ndialle
• Neibauer Dental Care, PC
• Stephanie Michelle Nelson-Butler, LGPC
• Ruth Sirri a Ngwa
• Helen Z. Norwood, M.D.
• Novexa Behavioral Health
• Aletanu Telma Ntabangoa
• Caitlyn Nutt, PHARM.D.
• Ikechukwu Wilson Nwosu, NP

• Psychiatric/Mental Health Nurse Practitioner in Brandywine, MD
• Providers in Brandywine, 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 Mar 7, 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.