Individual provider Active NPI

Victoria Chinagorom Okorie-Anochie, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Aberdeen, MD
National Provider Identifier
1770848939
Registry record updated Sep 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R173272 Issued in MD
Practice address
31 Howard St
Aberdeen, MD 21001-2445
Phone
(443) 543-8432
Fax
(443) 583-5902
NPI assigned
Jul 12, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R173272 MD Primary
Nurse Practitioner 363L00000X R173272 MD

Addresses

Primary practice location

31 Howard St
Aberdeen, MD 21001-2445

Mailing address

31 Howard St
Aberdeen, MD 21001-2445
Phone (443) 543-8432

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
I20171025000618 MD Practitioner - Nurse Practitioner 4486920188 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Winners Choice Healthcare Services, LLCGroup PAC ID 9436521366, 3 clinicians
Kind Heart Wellness Services, IncGroup PAC ID 9133554173, 4 clinicians

Practice addresses (Care Compare)

28 N Philadelphia Blvd
Aberdeen, MD 21001-2511
Phone (443) 502-5880

31 Howard St
Aberdeen, MD 21001-2445
Phone (443) 543-8432

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kind Heart Wellness Services, Inc Psychiatric/Mental Health CurrentSince Dec 12, 2019 Accepting new patients
Winners Choice Healthcare Services, LLC CurrentSince Sep 1, 2022 Accepting new patients
Kind Heart Wellness Services, Inc PastSince Aug 1, 2021 Accepting new patients

Locations

31 Howard St
Aberdeen, MD 21001
Phone (443) 543-8432

Organizations & group practices 3

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": "1342051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1770848939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 HOWARD ST",
            "city": "ABERDEEN",
            "state": "MD",
            "postal_code": "210012445",
            "telephone_number": "443-543-8432",
            "fax_number": "443-583-5902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 HOWARD ST",
            "city": "ABERDEEN",
            "state": "MD",
            "postal_code": "210012445",
            "telephone_number": "443-543-8432",
            "fax_number": "443-583-5902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKORIE-ANOCHIE",
        "first_name": "VICTORIA",
        "middle_name": "CHINAGOROM",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-12",
        "last_updated": "2021-09-28",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R173272",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R173272",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aberdeen, MD

Sources for this page

Verify at the official NPI Registry.