EG FAMILY PRACTICE AND PSYCHIATRY SERVICES INC (NPI# 1548708266) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548708266 |
| Entity Type | Organization |
| Organization Name | EG FAMILY PRACTICE AND PSYCHIATRY SERVICES INC |
| Other Organization Name | EG FAMILY PRACTICE AND PSYCHIATRIC SERVICES INC |
| Practice Address |
11028 Spring Lake Dr Bowie MD 20721-2924 |
| Mailing Address |
Po Box 4153 Upper Marlboro MD 20775-0153 |
| Practice Telephone | 3013670564 |
| Practice Fax Number | 3013331909 |
| Mailing Telephone | 3013670564 |
| Mailing Fax Number | 3013331909 |
| Enumeration Date | 2017-02-01 |
| Last Update Date | 2017-10-19 |
| Authorized Official Name | DR. GRACE O AKINPETIDE (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 3013670564 |
| Authorized Official Credential | PHD. DR OF NURSI |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 261QE0002X |
Clinic/Center Specialization: Emergency Care |
Ambulatory Health Care Facilities | ||
| N | 364SF0001X |
Clinical Nurse Specialist Specialization: Family Health |
MD | Physician Assistants & Advanced Practice Nursing Providers | |
| N | 364SP0810X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Child & Family |
MD | Physician Assistants & Advanced Practice Nursing Providers | |
| Y | 364SA2100X |
Clinical Nurse Specialist Specialization: Acute Care |
MD | Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| EG Family Practice and Psychiatric Services Inc | Former Legal Business Name - Organization |
| Street Address |
11028 SPRING LAKE DR |
| City | BOWIE |
| State | MD |
| Zip Code | 20721-2924 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619206745 | Grace Olayinka Akinpetide | Nurse Practitioner | 11028 Spring Lake Dr, Bowie, MD 20721-2924 | 2009-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124683768 | Lucie Bakop | Nurse Practitioner | 1217 Kingsbury Drive, Bowie, MD 20721 | 2019-05-09 |
| 1699245258 | Rita Nkilo Chofong | Home Health Aide | 1810 Sahara Lane, Bowie, MD 20721 | 2018-11-27 |
| 1215416136 | Mbah Charles | Home Health Aide | 3705 Clayton Dr, Bowie, MD 20721 | 2018-08-10 |
| 1730678061 | Isabell Home Care Assisted Living LLC | Assisted Living Facility | 11609 Candor Drive, Bowie, MD 20721 | 2018-05-02 |
| 1619486974 | Orthatech Inc | Durable Medical Equipment & Medical Supplies | 12138 Central Ave #777, Suite 961, Mitchelville, MD 20721 | 2017-09-29 |
| 1780103994 | Rosefidelis Omnicare, LLC | Registered Nurse | 3815 Alta Vista Drive, Bowie, MD 20721 | 2017-09-19 |
| 1013436070 | Adisatu Renner | Counselor | 4202 Taverngreen Lane, Bowie, MD 20721 | 2017-09-11 |
| 1730607375 | Hope Inyamah Coston | Student in an Organized Health Care Education/Training Program | 12158 Central Avenue, Mitchellville, MD 20721 | 2017-09-05 |
| 1982121463 | Awal A Aziz | Specialist/Technologist, Other | 14303 Duncannon Court, Bowie, MD 20721 | 2017-08-25 |
| 1851841555 | Emmanuel K Tanyi | Home Health Aide | 10971 Spyglass Hill, Bowie, MD 20721 | 2016-10-06 |
| Find all providers in zip 20721 | ||||
| Taxonomy Code | 364SA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851991244 | Tania Vucich Randell | Clinical Nurse Specialist | 1800 Orleans St Ste 5374a, Baltimore, MD 21287-0010 | 2020-10-27 |
| 1740592989 | Seraphine Leunkam | Clinical Nurse Specialist | 12150 Annapolis Rd, Suite 200, Glenn Dale, MD 20769-9183 | 2010-07-03 |
| 1497073340 | Christina Lynn Savage | Clinical Nurse Specialist | 500 Upper Chesapeake Dr, Bel Air, MD 21014-4324 | 2010-05-16 |
| 1336397942 | April Lyn Motovidlak | Clinical Nurse Specialist | 300 Byrn St, Cambridge, MD 21613-1908 | 2008-09-08 |
| 1861691099 | Archana D Patel | Clinical Nurse Specialist | 22 S Greene St, Baltimore, MD 21201-1544 | 2007-07-17 |
Please comment or provide details below to improve the information on EG FAMILY PRACTICE AND PSYCHIATRY SERVICES INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.