Individual provider Active NPI

Roshanne Forbes

  • Psychiatric/Mental Health Nurse Practitioner
  • Upper Marlboro, MD
National Provider Identifier
1811605058
Registry record updated Nov 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024185604 Issued in VA
Practice address
8702 Sweet Lauren CT
Upper Marlboro, MD 20772-5264
Phone
(301) 920-4411
NPI assigned
Nov 7, 2022
Last updated
Nov 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2022

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 0024185604 VA Primary

Addresses

Primary practice location

8702 Sweet Lauren CT
Upper Marlboro, MD 20772-5264

Mailing address

8702 Sweet Lauren CT
Upper Marlboro, MD 20772-5264
Phone (301) 920-4411

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
I20240808003549 MD Practitioner - Nurse Practitioner 1951848886 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1900 E Northern Pkwy
Suite T5
Baltimore, MD 21239-2120
Phone (410) 645-1000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024185604VAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rushh Wellness Care LLC Psychiatric/Mental Health CurrentSince Sep 29, 2024 Accepting new patients
Transforming Lives Counseling and PRP Services, LLC CurrentSince Jun 20, 2024 Accepting new patients
Rushh Wellness Care LLC Psychiatric/Mental Health CurrentSince Jun 11, 2024 Accepting new patients
Transforming Lives Counseling Services, LLC Current Accepting new patients

Locations

1900 E Northern Pkwy
Ste T5
Baltimore, MD 21239
Phone (410) 645-1000

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": "1667779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1811605058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8702 SWEET LAUREN CT",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207725264",
            "telephone_number": "301-920-4411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8702 SWEET LAUREN CT",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207725264",
            "telephone_number": "301-920-4411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORBES",
        "first_name": "ROSHANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-07",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024185604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Marlboro, MD

Sources for this page

Verify at the official NPI Registry.