Active NPI
Carmelle Tabitha Norice-Tra, MD-PHD
- Internal Medicine Physician
- Washington, DC
National Provider Identifier
1104142629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- PENDING
- Practice address
- 4 Atlantic St SW
Washington, DC 20032-2350 - Phone
- (202) 407-7747
- NPI assigned
- Apr 8, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | PENDING | MD | Primary |
Addresses
Primary practice location
4 Atlantic St SW
Washington, DC 20032-2350
Mailing address
10707 Venetia Mill Cir Apt 3B
Silver Spring, MD 20901-1598
Phone (301) 325-5343
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121011000619 | MD | Order and Referring Only - Internal Medicine | 6800045683 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PENDING | MD | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1104142629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10707 VENETIA MILL CIR APT 3B",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209011598",
"telephone_number": "301-325-5343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 ATLANTIC ST SW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200322350",
"telephone_number": "202-407-7747"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORICE-TRA",
"first_name": "CARMELLE",
"middle_name": "TABITHA",
"name_prefix": "Dr.",
"credential": "MD-PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-08",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MD",
"license": "PENDING",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.