Individual provider Active NPI

Anita Paudel, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Brooklyn, MD
National Provider Identifier
1831918176
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
C-APN.0103028-C-NP Issued in CO
Practice address
157 John Daniel Way
Brooklyn, MD 21225-3772
Phone
(703) 889-7965
NPI assigned
Oct 3, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

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 C-APN.0103028-C-NP CO Primary

Addresses

Primary practice location

157 John Daniel Way
Brooklyn, MD 21225-3772

Mailing address

157 John Daniel Way
Brooklyn, MD 21225-3772
Phone (703) 889-7965

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20250415002323 DC Practitioner - Nurse Practitioner 3577088269 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bright Horizons Psychiatry LLCGroup PAC ID 6608235213, 3 clinicians

Practice addresses (Care Compare)

6000 Executive Blvd
Suite 101
North Bethesda, MD 20852-3816
Phone (240) 599-1001

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C-APN.0103028-C-NPCOMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bright Horizons Psychiatry LLC CurrentSince Mar 17, 2025 Accepting new patients
Bright Horizons Psychiatry LLC PastSince Mar 17, 2025 Accepting new patients

Locations

6000 Executive Blvd
Ste 101
Rockville, MD 20852
Phone (240) 599-1001

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1727913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1831918176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 JOHN DANIEL WAY",
            "city": "BROOKLYN",
            "state": "MD",
            "postal_code": "212253772",
            "telephone_number": "703-889-7965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 JOHN DANIEL WAY",
            "city": "BROOKLYN",
            "state": "MD",
            "postal_code": "212253772",
            "telephone_number": "703-889-7965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAUDEL",
        "first_name": "ANITA",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-03",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "C-APN.0103028-C-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, MD

Sources for this page

Verify at the official NPI Registry.