Individual provider Active NPI

Rashidat Olayinka Odunewu, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Rosedale, MD
National Provider Identifier
1780332874
Registry record updated Apr 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R225942 Issued in MD
Practice address
9114 Philadelphia Rd Ste 106
Rosedale, MD 21237-4346
Phone
(240) 443-8255
NPI assigned
Mar 16, 2022
Last updated
Apr 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R225942 MD Primary

Addresses

Primary practice location

9114 Philadelphia Rd Ste 106
Rosedale, MD 21237-4346

Mailing address

6201 Greenleigh Ave
Middle River, MD 21220-2004

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
I20230601000689 MD Practitioner - Nurse Practitioner 2668839986 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
83.31 of 100Reported as group
Quality
73.89
Promoting interoperability
100
Improvement activities
40
Cost
70.47

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R225942MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins University CurrentSince May 1, 2023 Accepting new patients
Healthy Minds LLC CurrentSince Apr 17, 2023 Accepting new patients
Johns Hopkins University Psychiatric/Mental Health CurrentSince May 1, 2023 Accepting new patients
Johns Hopkins University Current Accepting new patients

Locations

6201 Greenleigh Ave
Middle River, MD 21220
Phone (410) 933-2704

9114 Philadelphia Rd
Ste 106
Rosedale, MD 21237
Phone (240) 443-8255

10755 Falls Rd
Timonium, MD 21093
Phone (410) 583-2727

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": "1647388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681430400000",
    "number": "1780332874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 GREENLEIGH AVE",
            "city": "MIDDLE RIVER",
            "state": "MD",
            "postal_code": "212202004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9114 PHILADELPHIA RD STE 106",
            "city": "ROSEDALE",
            "state": "MD",
            "postal_code": "212374346",
            "telephone_number": "240-443-8255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODUNEWU",
        "first_name": "RASHIDAT",
        "middle_name": "OLAYINKA",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-16",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R225942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosedale, MD

Sources for this page

Verify at the official NPI Registry.