Individual provider Active NPI

Abena Achiaa Ofori Atta

  • Psychiatric/Mental Health Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1811534274
Registry record updated Mar 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R208003 Issued in MD
Practice address
2700 W Cold Spring LN
Baltimore, MD 21215-6702
Phone
(240) 421-9776
Fax
(443) 272-2664
NPI assigned
Dec 4, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 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 R208003 MD Primary

Addresses

Primary practice location

2700 W Cold Spring LN
Baltimore, MD 21215-6702

Mailing address

10 Comill CT Apt 4B
Owings Mills, MD 21117-3455
Phone (240) 421-9776

Other practice location 1

7409 Setting Sun Way
Columbia, MD 21046-1260
Phone (240) 421-9776

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
I20200224001631 MD Practitioner - Nurse Practitioner 4789011230 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oasis Health Ventures LLCGroup PAC ID 1153669874, 2 clinicians

Practice addresses (Care Compare)

2500 N Rolling Rd
Suite 100
Windsor Mill, MD 21244-1999
Phone (443) 272-2614

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Oasis Health Ventures LLC CurrentSince Jan 15, 2020 Accepting new patients
Oasis Health Ventures LLC CurrentSince Jan 15, 2020 Accepting new patients
A K T Healthcare Incorporated PastSince Aug 1, 2019 Accepting new patients

Locations

2700 W Cold Spring Ln
Baltimore, MD 21215
Phone (443) 272-2614

2500 N Rolling Rd
Ste 100
Windsor Mill, MD 21244
Phone (410) 645-8536

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1575417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679875200000",
    "number": "1811534274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 COMILL CT APT 4B",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211173455",
            "telephone_number": "240-421-9776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 W COLD SPRING LN",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212156702",
            "telephone_number": "240-421-9776",
            "fax_number": "443-272-2664"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7409 Setting Sun Way",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MD",
            "postal_code": "210461260",
            "country_code": "US",
            "telephone_number": "240-421-9776",
            "fax_number": "443-272-2664",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OFORI ATTA",
        "first_name": "ABENA",
        "middle_name": "ACHIAA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-04",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R208003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.