Individual provider Active NPI

Di Leonel Ntui Ntui

  • Psychiatric/Mental Health Nurse Practitioner
  • Takoma Park, MD
National Provider Identifier
1891260048
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R228821 Issued in MD
Practice address
780 Fairview Ave Apt 507
Takoma Park, MD 20912-5950
Phone
(240) 515-2355
NPI assigned
Oct 3, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163W00000X RN1047013 DC
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R228821 MD Primary

Addresses

Primary practice location

780 Fairview Ave Apt 507
Takoma Park, MD 20912-5950

Mailing address

14010 Lake Meadows Dr
Bowie, MD 20720-3812
Phone (240) 515-2355

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN1047013DCMDRegistered Nurse
R228821MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
NT Community Psychiatry and Wellness LLC Multi-Specialty CurrentSince Nov 19, 2024 Accepting new patients

Organizations & group practices 1

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": "1538524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1891260048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14010 LAKE MEADOWS DR",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207203812",
            "telephone_number": "240-515-2355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 FAIRVIEW AVE APT 507",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209125950",
            "telephone_number": "240-515-2355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NTUI",
        "first_name": "DI LEONEL",
        "middle_name": "NTUI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-10-03",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": "DC",
            "license": "RN1047013",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R228821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Takoma Park, MD

Sources for this page

Verify at the official NPI Registry.