Kamoya Davia Powell Ludford, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R244504 Issued in MD

Practice address

1800 N Charles St Ste 808
Baltimore, MD 21201-5999

Phone

(954) 860-9838

NPI assigned

Jan 13, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD, DC2 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 2

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Vesta, Inc.Group PAC ID 3678568375, 20 clinicians

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.

• Vesta, Inc.

  • Community/Behavioral Health Agency
  • Severn, MD
  • NPI 1790995017

  MD

  Medicare reassignment Care Compare group NPD
• Resonance Behavioral Health Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baltimore, MD
  • NPI 1821765926

  MD, Psychiatric/Mental Health

  Medicare reassignment NPD
• Vesta, Inc.

  • Community/Behavioral Health Agency
  • Forestville, MD
  • NPI 1902015936

  DC

  Medicare reassignment NPD
• Vesta Inc

  • Community/Behavioral Health Agency
  • California, MD
  • NPI 1134419294
  NPD
• Vesta, Inc.

  • Community/Behavioral Health Agency
  • Lanham, MD
  • NPI 1083824437
  NPD

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

{
    "created_epoch": "1736726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1942010871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11703 HEARTWOOD DR",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207051576",
            "telephone_number": "954-860-9838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 N CHARLES ST STE 808",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212015999",
            "telephone_number": "954-860-9838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL LUDFORD",
        "first_name": "KAMOYA",
        "middle_name": "DAVIA",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-13",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R244504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shlaime Simcha Poupko
• Fereshteh Pourghadiri, PHYSICIAN ASSISTANT
• Haniyeh Poursaeid
• Linda L Powe
• Neil R Powe, M.D.
• Powell Recovery Center
• Powell Recovery Center
• Powell Recovery Center
• Powell Recovery Center
• Powell Recovery Center

• All providers in Baltimore, MD
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.