Favour Ofoegbu

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R183067 Issued in MD

Practice address

5457 Twin Knolls Rd Ste 300
Columbia, MD 21045-3296

Phone

(410) 230-1830

Fax

(410) 230-1830

NPI assigned

Mar 5, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Tehila Healthcare LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Columbia, MD
  • NPI 1790486314
  Medicare reassignment NPD Authorized official
• Axis Healthcare Group

  • Psychiatry Physician
  • Silver Spring, MD
  • NPI 1326295098
  Medicare reassignment

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

{
    "created_epoch": "1362441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1891036604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5457 TWIN KNOLLS RD STE 300",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210453296",
            "telephone_number": "410-230-1830",
            "fax_number": "410-230-1830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5457 TWIN KNOLLS RD STE 300",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210453296",
            "telephone_number": "410-230-1830",
            "fax_number": "410-230-1830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OFOEGBU",
        "first_name": "FAVOUR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-05",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "DC",
            "license": "RN1021770",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R183067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colbie Larieia Oden
• Adeyinka Odunowo, PHARMD
• Laurie Oetzel
• Skyler Rae Offer
• Collin Christopher Officer
• Felicia Ofori-Mintah
• Joan Ogaitis, MS, OTR/L
• Deidra Ogbuanya
• Karen Ogg
• Abiola Ogiemwonyi, LMSW

• Psychiatric/Mental Health Nurse Practitioner in Columbia, MD
• Providers in Columbia, MD by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; 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.

Verify at the official NPI Registry.