CALISTA OGBU DNP NPI 1477811800

NPI Information

NPI: 1477811800
Provider Name: CALISTA OGBU, DNP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
4302 SAINT BARNABAS RD STE G
TEMPLE HILLS, MD
ZIP 20748
Phone: (240) 200-6838
Get Directions

Calista Ogbu, DNP is a psychiatric/mental health nurse practitioner in Temple Hills, MD with 7 years of experience. Calista Ogbu, DNP NPI is 1477811800. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4302 SAINT BARNABAS RD STE G
TEMPLE HILLS, MD
ZIP 20748-842
Phone: (240) 200-6838
Fax: (800) 853-3149

The NPI 1477811800 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/23/2012 and was last updated on 9/23/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	R207370	MARYLAND	No
2	363LF0000X	Nurse Practitioner	Family	RN1031030	DISTRICT OF COLUMBIA	No
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	R207370	MARYLAND	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	083767643	MEDICAID	DISTRICT OF COLUMBIA
2	PENDING	MEDICAID	MARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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