Individual provider Active NPI

Elizabeth Omopariola

  • Psychiatric/Mental Health Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1821727223
Registry record updated Jun 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R205116 Issued in MD
Practice address
22 S Greene St
Baltimore, MD 21201-1544
Phone
(443) 621-9502
NPI assigned
Jun 9, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 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 R205116 MD Primary

Addresses

Primary practice location

22 S Greene St
Baltimore, MD 21201-1544

Mailing address

143 Disney CT
Owings Mills, MD 21117-3232

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, 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
I20220829000118 MD Practitioner - Nurse Practitioner 4385028174 Reassigns benefits to 3 organizations
I20240902000126 DC Practitioner - Nurse Practitioner 4385028174 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Harford-Belair Community Mental Health Center, Inc.Group PAC ID 5799838850, 7 clinicians
Core Counseling Services CoGroup PAC ID 1153694187, 4 clinicians

Practice addresses (Care Compare)

1301 York Rd
Suite 800
Lutherville, MD 21093-6011
Phone (443) 544-4673

4308 Harford Rd
Baltimore, MD 21214-3116
Phone (410) 426-5650

9475 Deereco Rd
Suite 410
Timonium, MD 21093-2124
Phone (410) 560-6135

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R205116MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Harford-Belair Community Mental Health Center, Inc. CurrentSince Jul 18, 2022 Accepting new patients
Core Counseling Services Co CurrentSince Jan 13, 2023 Accepting new patients
Core Clinical Services CurrentSince Feb 21, 2024 Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Jul 23, 2024 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

4308 Harford Rd
Baltimore, MD 21214
Phone (410) 426-5650

9475 Deereco Rd
Ste 410
Timonium, MD 21093
Phone (410) 560-6135

8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598

Organizations & group practices 5

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": "1654732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654732800000",
    "number": "1821727223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 DISNEY CT",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211173232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 S GREENE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011544",
            "telephone_number": "443-621-9502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMOPARIOLA",
        "first_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-09",
        "last_updated": "2022-06-09",
        "certification_date": "2022-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R205116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.