Individual provider Active NPI

Laure B. Ndeutchoua, FNP-C, DNP

  • Family Nurse Practitioner
  • Hyattsville, MD
National Provider Identifier
1013302728
Registry record updated Jan 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN1017163 Issued in DC
Practice address
6401 New Hampshire Ave
Suite 100
Hyattsville, MD 20783-3201
Phone
(301) 466-3593
Fax
(240) 764-5571
NPI assigned
Mar 30, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F0315095 MD
Family Nurse Practitioner 363LF0000X RN1017163 DC Primary

Addresses

Primary practice location

6401 New Hampshire Ave
Suite 100
Hyattsville, MD 20783-3201

Mailing address

6325 Kinsey Ter
Lanham, MD 20706-2396
Phone (240) 383-8705

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20160908001702 DC Practitioner - Nurse Practitioner 1557657194 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6401 New Hampshire Ave
Suite 100
Hyattsville, MD 20783-3201
Phone (301) 466-3593

Hospital & facility affiliations

  • Medstar Washington Hospital Center Hospital, Washington, DC, CCN 090011
  • Howard University Hospital Corp Hospital, Washington, DC, CCN 090003

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN1017163DCMDFamily Nurse Practitioner
F0315095MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
SDM-1 Stop Primary & Urgent Care Current Accepting new patients
SDM-1 Stop Primary & Urgent Care CurrentSince Jun 22, 2016 Accepting new patients

Locations

6323 Georgia Ave NW
Ste 106
Washington, DC 20011
Phone (202) 291-2005

6323 Georgia Ave NW
Ste 104
Washington, DC 20011
Phone (202) 683-0268

6401 New Hampshire Ave
Ste 100
Hyattsville, MD 20783
Phone (240) 383-8705

Interoperability endpoints

  • Direct secure messaging: laure.ndeutchoua@sspuc-md.direct.office.nextgen.com

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1427673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485820800000",
    "number": "1013302728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6325 KINSEY TER",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207062396",
            "telephone_number": "240-383-8705",
            "fax_number": "202-829-1571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6401 NEW HAMPSHIRE AVE",
            "address_2": "SUITE 100",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207833201",
            "telephone_number": "301-466-3593",
            "fax_number": "240-764-5571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NDEUTCHOUA",
        "first_name": "LAURE",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "FNP-C, DNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-30",
        "last_updated": "2017-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "F0315095",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DC",
            "license": "RN1017163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyattsville, MD

Sources for this page

Verify at the official NPI Registry.