Individual provider Active NPI

Fatmata Abdulai Kamara, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • King George, VA
National Provider Identifier
1780477539
Registry record updated May 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024193478 Issued in VA
Practice address
6131 James Madison Pkwy
King George, VA 22485-5351
Phone
(703) 660-4676
NPI assigned
May 26, 2025
Last updated
May 26, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2025

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 0024193478 VA Primary

Addresses

Primary practice location

6131 James Madison Pkwy
King George, VA 22485-5351

Mailing address

6131 James Madison Pkwy
King George, VA 22485-5351
Phone (703) 660-4676

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 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

Enrollment IDStateProvider typePAC IDDetails
I20250805003408 VA Practitioner - Nurse Practitioner 2961910476 Reassigns benefits to 1 organization
I20250806000638 DC Practitioner - Nurse Practitioner 2961910476 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Psychogeriatric Services LLCGroup PAC ID 6002719226, 122 clinicians

Practice addresses (Care Compare)

11215 Oak Leaf Dr
Suite 109
Silver Spring, MD 20901-1300
Phone (301) 593-4222

8575 Rixlew LN
Manassas, VA 20109-3701
Phone (301) 593-1315

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Psychogeriatric Services LLC Single Specialty CurrentSince Aug 1, 2025 Accepting new patients
Vital Health & Integrative Care Single Specialty CurrentSince Jun 3, 2025 Accepting new patients

Locations

12073 Tech Rd
Ste B
Silver Spring, MD 20904
Phone (240) 396-5873

6131 James Madison Pkwy
King George, VA 22485
Phone (571) 505-1744

8575 Rixlew Ln
Manassas, VA 20109
Phone (703) 257-9770

Organizations & group practices 2

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": "1748217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748217600000",
    "number": "1780477539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6131 JAMES MADISON PKWY",
            "city": "KING GEORGE",
            "state": "VA",
            "postal_code": "224855351",
            "telephone_number": "703-660-4676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6131 JAMES MADISON PKWY",
            "city": "KING GEORGE",
            "state": "VA",
            "postal_code": "224855351",
            "telephone_number": "703-660-4676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMARA",
        "first_name": "FATMATA",
        "middle_name": "ABDULAI",
        "name_prefix": "Mrs.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-26",
        "last_updated": "2025-05-26",
        "certification_date": "2025-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024193478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in King George, VA

Sources for this page

Verify at the official NPI Registry.