Individual provider Active NPI

Nana A Mensah, FNP, AANP

  • Nurse Practitioner
  • Olney, MD
National Provider Identifier
1902369168
Registry record updated Mar 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F04190068 Issued in MD
Practice address
3300 Olney Sandy Spring Rd Ste 140
Olney, MD 20832-1494
Phone
(301) 570-6245
Fax
(240) 389-1888
NPI assigned
Apr 12, 2019
Last updated
Mar 16, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F04190068 MD Primary

Addresses

Primary practice location

3300 Olney Sandy Spring Rd Ste 140
Olney, MD 20832-1494

Mailing address

3300 Olney Sandy Spring Rd Ste 140
Olney, MD 20832-1494
Phone (301) 570-6245

Other practice location 1

29 Laurence Brooke Rd
Catonsville, MD 21228-6107
Phone (410) 608-0051

Other practice location 2

29 Laurence Brooke Rd
Catonsville, MD 21228-6107
Phone (410) 608-0051

Other practice location 3

3300 Olney Sandy Spring Rd Ste 140
Olney, MD 20832-1494
Phone (410) 608-0051

Other practice location 4

3300 Olney Sandy Spring Rd Ste 140
Olney, MD 20832-1494
Phone (301) 570-6245

Other identifiers 1

IdentifierTypeStateIssuer
F04190068OtherF04190068

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
F04190068MDMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1555027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615852800000",
    "number": "1902369168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 OLNEY SANDY SPRING RD STE 140",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208321494",
            "telephone_number": "301-570-6245",
            "fax_number": "240-389-1888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 OLNEY SANDY SPRING RD STE 140",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208321494",
            "telephone_number": "301-570-6245",
            "fax_number": "240-389-1888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29 Laurence Brooke Rd",
            "address_purpose": "LOCATION",
            "city": "Catonsville",
            "state": "MD",
            "postal_code": "212286107",
            "country_code": "US",
            "telephone_number": "410-608-0051",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "29 Laurence Brooke Rd",
            "address_purpose": "LOCATION",
            "city": "Catonsville",
            "state": "MD",
            "postal_code": "212286107",
            "country_code": "US",
            "telephone_number": "410-608-0051",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3300 Olney Sandy Spring Rd Ste 140",
            "address_purpose": "LOCATION",
            "city": "Olney",
            "state": "MD",
            "postal_code": "208321494",
            "country_code": "US",
            "telephone_number": "410-608-0051",
            "fax_number": "240-389-1888",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3300 Olney Sandy Spring Rd Ste 140",
            "address_purpose": "LOCATION",
            "city": "Olney",
            "state": "MD",
            "postal_code": "208321494",
            "country_code": "US",
            "telephone_number": "301-570-6245",
            "fax_number": "240-389-1888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENSAH",
        "first_name": "NANA",
        "middle_name": "A",
        "credential": "FNP, AANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-12",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "F04190068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "F04190068",
            "identifier": "F04190068",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "other",
            "affiliation": "N",
            "address_1": "3300 Olney Sandy Spring Rd Ste 140",
            "city": "Olney",
            "state": "MD",
            "country_code": "US",
            "postal_code": "208321494",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Olney, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.