Individual provider Active NPI

Njideka Nkemjika Emenyi

  • Psychiatric/Mental Health Nurse Practitioner
  • Frederick, MD
National Provider Identifier
1912567504
Registry record updated Aug 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R210157 Issued in MD
Practice address
309 E Patrick St
Frederick, MD 21701-6792
Phone
(443) 559-4137
NPI assigned
Jun 17, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R210157 MD
Family Nurse Practitioner 363LF0000X AP141853 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R210157 MD Primary

Addresses

Primary practice location

309 E Patrick St
Frederick, MD 21701-6792

Mailing address

735 Blue Moon LN
Westminster, MD 21157-7059
Phone (443) 821-0717

Other practice location 1

10220 S Dolfield Rd Ste 106
Owings Mills, MD 21117-3660
Phone (443) 559-4137

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MD, DC3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20200521000685 TX Practitioner - Nurse Practitioner 1850722133 Reassigns benefits to 2 organizations
I20231109000193 MD Practitioner - Nurse Practitioner 1850722133 Reassigns benefits to 2 organizations
I20240823002898 DC Practitioner - Nurse Practitioner 1850722133 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rehoboth Healthcare and Behavioral ServicesGroup PAC ID 1850748013, 3 clinicians

Practice addresses (Care Compare)

600 Massachusetts Ave NW
Suite 250
Washington, DC 20001-5554
Phone (443) 821-0717

735 Blue Moon LN
Westminster, MD 21157-7059
Phone (443) 821-0717

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R210157MDMDFamily Nurse Practitioner
AP141853TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates, PLLC CurrentSince Apr 1, 2020 Accepting new patients
Kindred Treatment Center CurrentSince Mar 17, 2024 Accepting new patients
Vpa of Texas PLLC CurrentSince Jan 29, 2021 Accepting new patients
Vpa of Texas PLLC CurrentSince Jan 29, 2021 Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Jul 9, 2024 Accepting new patients
Rehoboth Healthcare and Behavioral Services Family CurrentSince Sep 12, 2023 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Bellissima Women'S Clinic Past Accepting new patients
Marcos Hiroshi Ikeda PA PastSince Feb 13, 2017 Accepting new patients

Locations

600 Massachusetts Ave NW
Ste 250
Washington, DC 20001
Phone (202) 807-5610

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

419 Malcolm Dr
Ste A
Westminster, MD 21157
Phone (443) 821-0717

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

4545 Fuller Dr
Ste 325
Irving, TX 75038
Phone (972) 870-5511

8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598

Organizations & group practices 9

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": "1560729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692835200000",
    "number": "1912567504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 BLUE MOON LN",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211577059",
            "telephone_number": "443-821-0717",
            "fax_number": "443-821-0720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 E PATRICK ST",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217016792",
            "telephone_number": "443-559-4137"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10220 S Dolfield Rd Ste 106",
            "address_purpose": "LOCATION",
            "city": "Owings Mills",
            "state": "MD",
            "postal_code": "211173660",
            "country_code": "US",
            "telephone_number": "443-559-4137",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EMENYI",
        "first_name": "NJIDEKA",
        "middle_name": "NKEMJIKA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-17",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R210157",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP141853",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R210157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

Verify at the official NPI Registry.