Individual provider Active NPI

Aline Antoinette Kadji-Tedjeu, FNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Gaithersburg, MD
National Provider Identifier
1063096964
Registry record updated Jan 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R212320 Issued in MD
Practice address
10810 Darnestown Rd
Gaithersburg, MD 20878-2675
Phone
(301) 257-6133
NPI assigned
May 7, 2021
Last updated
Jan 19, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R212320 MD
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R212320 MD Primary

Addresses

Primary practice location

10810 Darnestown Rd
Gaithersburg, MD 20878-2675

Mailing address

12642 Travilah Rd
Potomac, MD 20854-1084
Phone (703) 785-2175

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20241031004332 MD Practitioner - Nurse Practitioner 3971036765 Reassigns benefits to 3 organizations
I20241111000261 DC Practitioner - Nurse Practitioner 3971036765 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Toller Enterprises, LLCGroup PAC ID 8628481926, 63 clinicians

Practice addresses (Care Compare)

2232 E Monument St
Baltimore, MD 21205-2431
Phone (667) 207-3552

3210 Powder Mill Rd
Hyattsville, MD 20783-1029
Phone (301) 937-3939

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R212320MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Spiritual Healing Psychiatric/Mental Health CurrentSince Jan 7, 2026 Accepting new patients
Adk Health Services LLC CurrentSince Dec 7, 2025 Accepting new patients
Integrahealth LLC Psychiatric/Mental Health CurrentSince Feb 2, 2026 Accepting new patients
Toller Enterprises LLC CurrentSince Jan 7, 2026 Accepting new patients
Toller Enterprises LLC Psychiatric/Mental Health CurrentSince Jan 7, 2026 Accepting new patients
Integrahealth LLC Psychiatric/Mental Health CurrentSince Feb 2, 2026 Accepting new patients

Locations

1500 K St NW
Ste 200
Washington, DC 20005
Phone (667) 207-3552

10 N Rock Glen Rd
Baltimore, MD 21229
Phone (410) 646-2100

2232 E Monument St
Baltimore, MD 21205
Phone (667) 207-3552

3210 Powder Mill Rd
Hyattsville, MD 20783
Phone (301) 937-3939

200 Civic Ave
Salisbury, MD 21804
Phone (410) 749-1466

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16377/brand/1/csg/1/fhir/r4

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1620345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768780800000",
    "number": "1063096964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12642 TRAVILAH RD",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208541084",
            "telephone_number": "703-785-2175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10810 DARNESTOWN RD",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208782675",
            "telephone_number": "301-257-6133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KADJI-TEDJEU",
        "first_name": "ALINE",
        "middle_name": "ANTOINETTE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-07",
        "last_updated": "2026-01-19",
        "certification_date": "2026-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R212320",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R212320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

Verify at the official NPI Registry.