Active NPI
Kelvinda Kamara, FNP-BC, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- R174859
- 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, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 059076500 | Medicaid | MD |
Other names 1
- None None
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| R174859 | MD | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Five Star Physician Services, LLC | Current | Accepting new patients | |
| Nurse Practitioner on Call LLC | Family | Current | Accepting new patients |
| K&I Healthcare Services | Psychiatric/Mental Health | Current | 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 | Current | Accepting new patients | |
| K&I Healthcare Services | Psychiatric/Mental Health | Current | Accepting new patients |
| Nurse Practitioner on Call LLC | Psychiatric/Mental Health | Current | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Waldorf, MD
- NPI 1407409477
Psychiatric/Mental Health
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Baltimore, MD
- NPI 1992245559
Psychiatric/Mental Health
-
- Internal Medicine Physician
- Linthicum Heights, MD
- NPI 1083654479
-
dba Legacy Physiatry Group
- Physical Medicine & Rehabilitation Physician
- Gaithersburg, MD
- NPI 1669869939
-
- Psychiatric/Mental Health Nurse Practitioner
- Baltimore, MD
- NPI 1194392001
Family
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Baltimore, MD
- NPI 1528685161
Family
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Landover, MD
- NPI 1881289635
Psychiatric/Mental Health
-
- Psychiatric/Mental Health Nurse Practitioner
- Severn, MD
- NPI 1447968490
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.