Active NPI
Ketty M Ngona, CRNP
- Psychiatric/Mental Health Nurse Practitioner
- Glen Burnie, MD
National Provider Identifier
1962714204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- R170567
- Practice address
- 7310 Ritchie Hwy Ste 612
Glen Burnie, MD 21061-3291 - Phone
- (443) 491-7854
- Fax
- (443) 288-4808
- NPI assigned
- Jul 1, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | R170567 | MD | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | R170567 | MD | Primary |
Addresses
Primary practice location
7310 Ritchie Hwy Ste 612
Glen Burnie, MD 21061-3291
Mailing address
7735 Hollins Chapel CT
Glen Burnie, MD 21060-8396
Phone (443) 491-7854
Other practice location 1
6212 York Rd
Baltimore, MD 21212-2612
Phone (240) 374-3801
Other practice location 2
300 E Madison St
Baltimore, MD 21202-4260
Phone (410) 209-4410
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, MT, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
7310 Ritchie Hwy
Suite 612
Glen Burnie, MD 21061
7310 Ritchie Hwy
Suite 612
Glen Burnie, MD 21061-3291
Phone (443) 491-7854
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
Locations
6212 York Rd
Baltimore, MD 21212
Phone (240) 374-3801
6801 Oak Hall Ln
Unit 6462
Columbia, MD 21045
7310 Ritchie Hwy
Ste 612
Glen Burnie, MD 21061
Phone (443) 491-7854
308 Crain Hwy N
Glen Burnie, MD 21061
Phone (443) 465-9958
308 Crain Hwy N
#M
Glen Burnie, MD 21061
Organizations & group practices 27
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Glen Burnie, MD
- NPI 1790329530
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Baltimore, MD
- NPI 1861017162
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Glen Burnie, MD
- NPI 1013679216
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Baltimore, MD
- NPI 1063109114
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Glen Burnie, MD
- NPI 1104530641
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Chestertown, MD
- NPI 1164266813
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Worton, MD
- NPI 1255024246
-
- Multi-Specialty Clinic/Center
- Glen Burnie, MD
- NPI 1285255307
-
- Substance Abuse Rehabilitation Facility
- Baltimore, MD
- NPI 1356294656
-
- Mental Illness Community Based Residential Treatment Facility
- Baltimore, MD
- NPI 1386390532
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Glen Burnie, MD
- NPI 1467166900
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chestertown, MD
- NPI 1528757515
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739836800000",
"number": "1962714204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7735 HOLLINS CHAPEL CT",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210608396",
"telephone_number": "443-491-7854",
"fax_number": "443-288-4808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7310 RITCHIE HWY STE 612",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210613291",
"telephone_number": "443-491-7854",
"fax_number": "443-288-4808"
}
],
"practiceLocations": [
{
"address_1": "6212 York Rd",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212122612",
"country_code": "US",
"telephone_number": "240-374-3801",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "300 E Madison St",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212024260",
"country_code": "US",
"telephone_number": "410-209-4410",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NGONA",
"first_name": "KETTY",
"middle_name": "M",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-01",
"last_updated": "2025-02-18",
"certification_date": "2025-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MD",
"license": "R170567",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MD",
"license": "R170567",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glen Burnie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.