Philip Nkemgang, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

NP1026027 Issued in DC

Practice address

4804 Lakeview LN
Bowie, MD 20720-4247

Phone

(240) 603-8148

NPI assigned

Apr 30, 2012

Reactivated

Aug 20, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1335744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1790043586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4804 LAKEVIEW LN",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207204247",
            "telephone_number": "240-603-8148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4804 LAKEVIEW LN",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207204247",
            "telephone_number": "240-603-8148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NKEMGANG",
        "first_name": "PHILIP",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-30",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "deactivation_date": "2025-07-31",
        "reactivation_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "DC",
            "license": "NP1026027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Odilia Bemehbonui Nkeh
• Sheryl Nkem
• Desfort Nkenganfe Nkemateh
• Violet Nonye Nkemdirim
• Carine Nkemgang
• Collins Asong Nkemju
• Aboh Belleh Nkemkemg
• Marian Akamin Nkeng, PHARMD
• Sharon Ngonwah Nkeng
• Deland A Nkengafac

• Psychiatric/Mental Health Nurse Practitioner in Bowie, MD
• Providers in Bowie, 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 Oct 29, 2025; 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.