Individual provider Active NPI

Kelvinda Kamara, FNP-BC, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1851641955
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R174859 Issued in MD
Practice address
1800 N Charles St Ste 804
Baltimore, MD 21201-5987
Phone
(443) 873-8479
NPI assigned
Sep 16, 2012
Last updated
Jun 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R174859 MD
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R174859 MD Primary

Addresses

Primary practice location

1800 N Charles St Ste 804
Baltimore, MD 21201-5987

Mailing address

1002 Cortana Court
Severn, MD 21144-1184
Phone (240) 898-1810

Other practice location 1

1002 Cortana Court
Severn, MD 21144-1184
Phone (240) 898-1810

Other practice location 2

4301 Garden City Dr Ste 303
Landover, MD 20785-6105
Phone (240) 616-7167

Other practice location 3

11637 Terrace Dr Ste 201
Waldorf, MD 20602-3708
Phone (240) 419-2931

Other identifiers 1

IdentifierTypeStateIssuer
059076500MedicaidMD

Other names 1

  • None None Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL SEVERN Direct

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
I20130925000575 MD Practitioner - Nurse Practitioner 6002050481 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kandi Healthcare ServicesGroup PAC ID 5193131126, 4 clinicians

Practice addresses (Care Compare)

11637 Terrace Dr
Suite 201
Waldorf, MD 20602-3708
Phone (240) 419-3803

1800 N Charles St
Suite 808
Baltimore, MD 21201-5999
Phone (240) 898-1810

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R174859MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Five Star Physician Services, LLC CurrentSince Apr 1, 2015 Accepting new patients
Nurse Practitioner on Call LLC Family Current Accepting new patients
K&I Healthcare Services Psychiatric/Mental Health CurrentSince Dec 11, 2020 Accepting new patients
Practical Life Health Services Psychiatric/Mental Health Current Accepting new patients
Nurse Practitioner on Call LLC Family Current Accepting new patients
Legacy Physiatry Group Maryland, LLC CurrentSince Jul 1, 2015 Accepting new patients
K&I Healthcare Services Psychiatric/Mental Health CurrentSince Dec 11, 2020 Accepting new patients
Nurse Practitioner on Call LLC Psychiatric/Mental Health CurrentSince Jun 5, 2017 Accepting new patients

Locations

1800 N Charles St
Ste 804
Baltimore, MD 21201
Phone (240) 667-1679

1800 N Charles St
Ste 808
Baltimore, MD 21201
Phone (240) 898-1810

10320 Little Patuxent Pkwy
Ste 200
Columbia, MD 21044
Phone (703) 988-2360

4301 Garden City Dr
Ste 303
Landover, MD 20785
Phone (240) 616-7167

785 Elkridge Landing Rd
Ste 300
Linthicum Heights, MD 21090
Phone (443) 323-3014

11637 Terrace Dr
Ste 201
Waldorf, MD 20602
Phone (240) 419-3803

850 Central Pkwy E
Ste 275
Plano, TX 75074

Organizations & group practices 8

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": "1347753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1851641955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 CORTANA COURT",
            "city": "SEVERN",
            "state": "MD",
            "postal_code": "211441184",
            "telephone_number": "240-898-1810",
            "fax_number": "949-863-6460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 N CHARLES ST STE 804",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212015987",
            "telephone_number": "443-873-8479"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1002 CORTANA COURT",
            "address_purpose": "LOCATION",
            "city": "SEVERN",
            "state": "MD",
            "postal_code": "211441184",
            "country_code": "US",
            "telephone_number": "240-898-1810",
            "fax_number": "240-493-8657",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4301 Garden City Dr Ste 303",
            "address_purpose": "LOCATION",
            "city": "Landover",
            "state": "MD",
            "postal_code": "207856105",
            "country_code": "US",
            "telephone_number": "240-616-7167",
            "fax_number": "240-667-1712",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11637 Terrace Dr Ste 201",
            "address_purpose": "LOCATION",
            "city": "Waldorf",
            "state": "MD",
            "postal_code": "206023708",
            "country_code": "US",
            "telephone_number": "240-419-2931",
            "fax_number": "240-317-7646",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAMARA",
        "first_name": "KELVINDA",
        "credential": "FNP-BC, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-16",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R174859",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R174859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "059076500",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "SEVERN",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1002 Cortana Ct # A",
            "city": "Severn",
            "state": "MD",
            "country_code": "US",
            "postal_code": "211441184",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "NONE",
            "last_name": "NONE",
            "credential": "CRNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.