Individual provider Active NPI

Glory Ngum Forbi, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Bowie, MD
National Provider Identifier
1790310506
Registry record updated May 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R167785 Issued in MD
Practice address
9712 Bald Hill Rd
Bowie, MD 20721-2875
Phone
(240) 273-2054
NPI assigned
Mar 12, 2020
Last updated
May 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R167785 MD Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R167785 DC
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN1006285 DC

Addresses

Primary practice location

9712 Bald Hill Rd
Bowie, MD 20721-2875

Mailing address

9712 Bald Hill Rd
Bowie, MD 20721-2875
Phone (240) 273-2054

Other practice location 1

1200 1st St NE Ste 320
Washington, DC 20002-3385
Phone (240) 273-2054

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 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
I20200604001017 DC Practitioner - Nurse Practitioner 7012338775 Reassigns benefits to 1 organization
I20200612001569 MD Practitioner - Nurse Practitioner 7012338775 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Bowie, MD 20721
Phone (240) 273-2054

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R167785DCMDPsychiatric/Mental Health Nurse Practitioner
R167785MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mind & Soul Telewellness LLC Multi-Specialty CurrentSince Aug 5, 2020 Accepting new patients
Onpoint Mental Health Tele and Wellness Services LLC Multi-Specialty CurrentSince Mar 8, 2023 Accepting new patients

Locations

320 E Towsontown Blvd
Ste 201
Towson, MD 21286
Phone (410) 296-2004

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": "1583971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715299200000",
    "number": "1790310506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9712 BALD HILL RD",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207212875",
            "telephone_number": "240-273-2054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9712 BALD HILL RD",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207212875",
            "telephone_number": "240-273-2054"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 1st St NE Ste 320",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200023385",
            "country_code": "US",
            "telephone_number": "240-273-2054",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORBI",
        "first_name": "GLORY",
        "middle_name": "NGUM",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-12",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R167785",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "DC",
            "license": "R167785",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "DC",
            "license": "RN1006285",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

Verify at the official NPI Registry.