NPIMap

Organization Active NPI

Nancy Nyakundi Henriette Karekezi

Doing business as Clear Minds Family & Mental Health

  • Family Nurse Practitioner
  • Fairmount Heights, MD
National Provider Identifier
1780330472
Registry record updated Feb 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
NANCY NYAKUNDI HENRIETTE KAREKEZI
Doing business as
Clear Minds Family & Mental Health
Practice address
525 Eastern Ave # B1
Fairmount Heights, MD 20743-1677
Phone
(301) 580-4776
NPI assigned
Feb 22, 2022
Last updated
Feb 23, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2022

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

Authorized official

Name
Delores Wickham
Title
Credentialing Manager
Phone
(571) 484-6817

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU Primary

Addresses

Primary practice location

525 Eastern Ave # B1
Fairmount Heights, MD 20743-1677

Mailing address

525 Eastern Ave # B1
Fairmount Heights, MD 20743-1677
Phone (301) 580-4776

Other names 1

  • Clear Minds Family & Mental Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Clear Minds Family and Mental Health Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1645488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645574400000",
    "number": "1780330472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 EASTERN AVE # B1",
            "city": "FAIRMOUNT HEIGHTS",
            "state": "MD",
            "postal_code": "207431677",
            "telephone_number": "301-580-4776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 EASTERN AVE # B1",
            "city": "FAIRMOUNT HEIGHTS",
            "state": "MD",
            "postal_code": "207431677",
            "telephone_number": "301-580-4776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANCY NYAKUNDI HENRIETTE KAREKEZI",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-22",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A",
        "authorized_official_last_name": "WICKHAM",
        "authorized_official_first_name": "DELORES",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "571-484-6817"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clear Minds Family & Mental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairmount Heights, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.