Individual provider Active NPI

Nakeitha Owens, PA-C

  • Physician Assistant
  • Washington, DC
National Provider Identifier
1881888618
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
029108 Issued in NY
Practice address
4601 Martin Luther King Jr Ave SW
Washington, DC 20032-1131
Phone
(919) 213-1136
NPI assigned
Sep 5, 2007
Last updated
Feb 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X DC
Medical Physician Assistant 363AM0700X
Physician Assistant 363A00000X 029108 NY Primary
Speech-Language Pathologist 235Z00000X 6143 NC

Addresses

Primary practice location

4601 Martin Luther King Jr Ave SW
Washington, DC 20032-1131

Mailing address

10914 Georgia Ave Apt 410
Silver Spring, MD 20902-4398
Phone (919) 213-1136

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD, NC, VA, NY, SC6 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 6

Enrollment IDStateProvider typePAC IDDetails
I20181206002010 DC Practitioner - Physician Assistant 5395089072 Reassigns benefits to 1 organization
I20200504001528 MD Practitioner - Physician Assistant 5395089072 Reassigns benefits to 3 organizations
I20221214000146 NC Practitioner - Physician Assistant 5395089072 Reassigns benefits to 3 organizations
I20230110001118 VA Practitioner - Physician Assistant 5395089072 Reassigns benefits to 3 organizations
I20231103001480 NY Practitioner - Physician Assistant 5395089072 Reassigns benefits to 2 organizations
I20240827004089 SC Practitioner - Physician Assistant 5395089072 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Howard University College of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kingsford Physician Services LLCGroup PAC ID 0840541017, 15 clinicians
Musc Community PhysiciansGroup PAC ID 6507260668, 1,353 clinicians

Practice addresses (Care Compare)

2400 Lee Hwy N
Pulaski, VA 24301-2326
Phone (540) 994-8100

506 N St
Bamberg, SC 29003-1319
Phone (803) 245-6290

805 Pamplico Hwy
Florence, SC 29505-6047

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
6143NCMDOccupational Therapist
029108NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Union Hospital of Cecil County CurrentSince Sep 1, 2024 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Dec 1, 2022 Accepting new patients
Medstar Medical Group II LLC CurrentSince Apr 1, 2025 Accepting new patients
Musc Community Physicians CurrentSince Jul 1, 2024 Accepting new patients
Caldwell Memorial Hospital Inc. CurrentSince Feb 24, 2024 Accepting new patients
Medstar Medical Group II LLC CurrentSince Apr 1, 2025 Accepting new patients
Caldwell Memorial Hospital Inc CurrentSince Feb 24, 2024 Accepting new patients
Union Hospital of Cecil County, Inc. CurrentSince Sep 1, 2024 Accepting new patients
New York Medical Physician Associates PC CurrentSince Aug 1, 2024 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Dec 1, 2022 Accepting new patients
Musc Community Physicians CurrentSince Jul 1, 2024 Accepting new patients
Regional Medical Center of Orangeburg and Calhoun Counties Past Accepting new patients

Locations

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

106 Bow St
Elkton, MD 21921
Phone (410) 298-2000

207 North St
Ste A
Elkton, MD 21921

1406 Crain Hwy S
Glen Burnie, MD 21061
Phone (410) 768-6440

321 Mulberry St SW
Lenoir, NC 28645
Phone (828) 757-5100

111 Hospital Dr
Utica, NY 13502
Phone (315) 801-8534

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

805 Pamplico Hwy
Ste 300
Florence, SC 29505
Phone (843) 679-2760

3000 Saint Matthews Rd
Orangeburg, SC 29118
Phone (803) 395-2200

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

15225 Heathcote Blvd
Haymarket, VA 20169
Phone (571) 284-1000

Interoperability endpoints

  • Direct secure messaging: nowens477381@direct.musc.edu
  • Direct secure messaging: nowens949542@direct.unc.nchie.net
  • Direct secure messaging: nowens973924@direct.umm.edu

Organizations & group practices 21

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.

View all 21

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1188950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1881888618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10914 GEORGIA AVE APT 410",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209024398",
            "telephone_number": "919-213-1136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 MARTIN LUTHER KING JR AVE SW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200321131",
            "telephone_number": "919-213-1136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWENS",
        "first_name": "NAKEITHA",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-05",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "DC",
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "029108",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "6143",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.