Active NPI
Amudalat King
- Psychiatric/Mental Health Nurse Practitioner
- Brunswick, MD
National Provider Identifier
1912850546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- R225918
- Practice address
- 1502 Potomac View Pkwy
Brunswick, MD 21716-9797 - Phone
- (240) 529-6773
- NPI assigned
- Feb 14, 2026
- Last updated
- Oct 7, 2026
- Sex
- Unspecified or another gender identity
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | R225918 | MD | Primary |
Addresses
Primary practice location
1502 Potomac View Pkwy
Brunswick, MD 21716-9797
Mailing address
1502 Potomac View Pkwy
Brunswick, MD 21716-9797
Phone (240) 529-6773
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
| License | State | Type | Specialty |
|---|---|---|---|
| R225918 | MD | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1771027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791331200000",
"number": "1912850546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1502 POTOMAC VIEW PKWY",
"city": "BRUNSWICK",
"state": "MD",
"postal_code": "217169797",
"telephone_number": "240-529-6773",
"fax_number": "667-444-5502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1502 POTOMAC VIEW PKWY",
"city": "BRUNSWICK",
"state": "MD",
"postal_code": "217169797",
"telephone_number": "240-529-6773"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "AMUDALAT",
"sole_proprietor": "YES",
"sex": "X",
"enumeration_date": "2026-02-14",
"last_updated": "2026-10-07",
"certification_date": "2026-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MD",
"license": "R225918",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brunswick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.