Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Raphael Gikonyo, PHMNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1205458536

Raphael Gikonyo, PHMNP-BC is a Nurse Practitioner in Timonium, Maryland. Qualified in 2020, 6 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Maryland.

Years since qualifying
6
Licensed in
MD
In the registry since
2020
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Practice location Address checks out

1205 York Rd Ste 14
Timonium, MD 21093-6211
Phone: (410) 757-2077
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence R216660 (MD)

Record details

NPI number1205458536
Entity typeIndividual (Type 1)
GenderMale
Credentials PHMNP-BC
Sole proprietorYes
NPI enumeratedMay 8, 2020
Last updated in NPPESApril 7, 2025
Certification dateApril 7, 2025
Mailing address1205 York Rd Ste 14, Timonium, MD 21093-6211

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Timonium