Individual provider Active NPI

Sidonie Heumen

  • Psychiatric/Mental Health Nurse Practitioner
  • Columbia, MD
National Provider Identifier
1982470704
Registry record updated Dec 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R200170 Issued in MD
Practice address
7148 Natures Rd
Columbia, MD 21046-1606
Phone
(202) 286-8616
NPI assigned
Dec 1, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R200170 MD Primary

Addresses

Primary practice location

7148 Natures Rd
Columbia, MD 21046-1606

Mailing address

7148 Natures Rd
Columbia, MD 21046-1606
Phone (202) 286-8616

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240422003255 MD Practitioner - Nurse Practitioner 9537508692 Reassigns benefits to 3 organizations
I20240808003923 DC Practitioner - Nurse Practitioner 9537508692 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spiritual HealingGroup PAC ID 7113388802, 22 clinicians
Toller Enterprises, LLCGroup PAC ID 8628481926, 63 clinicians

Practice addresses (Care Compare)

2232 E Monument St
Baltimore, MD 21205-2431
Phone (667) 207-3552

3210 Powder Mill Rd
Hyattsville, MD 20783-1029
Phone (301) 937-3939

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R200170MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Integrahealth LLC Psychiatric/Mental Health CurrentSince May 6, 2024 Accepting new patients
Toller Enterprises LLC CurrentSince Mar 17, 2024 Accepting new patients
Toller Enterprises LLC Psychiatric/Mental Health CurrentSince Mar 17, 2024 Accepting new patients
Integrahealth LLC Psychiatric/Mental Health CurrentSince May 6, 2024 Accepting new patients
Integrahealth LLC Psychiatric/Mental Health Current Accepting new patients
Jjdlightcare Psychiatric/Mental Health CurrentSince May 26, 2024 Accepting new patients
Spiritual Healing Psychiatric/Mental Health CurrentSince Sep 3, 2024 Accepting new patients

Locations

1500 K St NW
Ste 200
Washington, DC 20005
Phone (667) 207-3552

821 N Charles St
Baltimore, MD 21201
Phone (443) 452-9612

2232 E Monument St
Baltimore, MD 21205
Phone (667) 207-3552

10 N Rock Glen Rd
Baltimore, MD 21229
Phone (410) 646-2100

3210 Powder Mill Rd
Hyattsville, MD 20783
Phone (301) 937-3939

9722 Groffs Mill Dr
Owings Mills, MD 21117
Phone (410) 205-9255

200 Civic Ave
Salisbury, MD 21804
Phone (410) 749-1466

Organizations & group practices 8

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": "1701388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701388800000",
    "number": "1982470704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7148 NATURES RD",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210461606",
            "telephone_number": "202-286-8616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7148 NATURES RD",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210461606",
            "telephone_number": "202-286-8616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEUMEN",
        "first_name": "SIDONIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-01",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R200170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.