Individual provider Active NPI

Temitope Akinpetide, DNP-PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Glenn Dale, MD
National Provider Identifier
1841545332
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R201352 Issued in MD
Practice address
11538 Prospect Hill Rd # a
Glenn Dale, MD 20769-9469
Phone
(301) 204-9830
NPI assigned
Jul 20, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical-Surgical Registered Nurse 163WM0705X R201352 MD
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R201352 MD Primary

Addresses

Primary practice location

11538 Prospect Hill Rd # a
Glenn Dale, MD 20769-9469

Mailing address

11538 Prospect Hill Rd # NA
Glenn Dale, MD 20769-9469
Phone (301) 204-9830

Other practice location 1

19801 Observation Dr
Germantown, MD 20876-4070
Phone (202) 360-4787

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
I20230928001395 MD Practitioner - Nurse Practitioner 4981058625 Reassigns benefits to 3 organizations
I20230928003312 DC Practitioner - Nurse Practitioner 4981058625 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

Practice addresses (Care Compare)

402 N Hickory Ave
Bel Air, MD 21014-3267
Phone (410) 297-7665

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R201352MDMDMedical-Surgical Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Axis Healthcare Group CurrentSince Jul 25, 2023 Accepting new patients
A1 Wellness & Counseling, LLC Psychiatric/Mental Health CurrentSince Apr 29, 2024 Accepting new patients
Elysium, LLC Psychiatric/Mental Health CurrentSince Feb 1, 2025 Accepting new patients
MCS, PC Psychiatric/Mental Health Past Accepting new patients

Locations

1150 Varnum St NE
Washington, DC 20017
Phone (202) 269-7000

402 N Hickory Ave
Bel Air, MD 21014
Phone (410) 297-7665

19801 Observation Dr
Germantown, MD 20876
Phone (301) 557-5928

25500 Point Lookout Rd
Leonardtown, MD 20650
Phone (301) 475-6106

1117 E West Hwy
Silver Spring, MD 20910
Phone 202360478714

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1342742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1841545332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11538 PROSPECT HILL RD # NA",
            "city": "GLENN DALE",
            "state": "MD",
            "postal_code": "207699469",
            "telephone_number": "301-204-9830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11538 PROSPECT HILL RD # A",
            "city": "GLENN DALE",
            "state": "MD",
            "postal_code": "207699469",
            "telephone_number": "301-204-9830"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19801 Observation Dr",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "MD",
            "postal_code": "208764070",
            "country_code": "US",
            "telephone_number": "202-360-4787",
            "fax_number": "202-360-4787",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AKINPETIDE",
        "first_name": "TEMITOPE",
        "name_prefix": "Dr.",
        "credential": "DNP-PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-20",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "MD",
            "license": "R201352",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R201352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenn Dale, MD

Sources for this page

Verify at the official NPI Registry.