Active NPI
Laure B. Ndeutchoua, FNP-C, DNP
- Family Nurse Practitioner
- Hyattsville, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN1017163
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
- Howard University Hospital Corp
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN1017163 | DC | MD | Family Nurse Practitioner |
| F0315095 | MD | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SDM-1 Stop Primary & Urgent Care | Current | Accepting new patients | |
| SDM-1 Stop Primary & Urgent Care | Current | 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
- 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.
-
- Urgent Care Clinic/Center
- Lanham, MD
- NPI 1316397177
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Washington, DC
- NPI 1487740957
-
- General Acute Care Hospital
- Washington, DC
- NPI 1548378235
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.