Individual provider Active NPI

Sylvie T Tchuindjo

  • Adult Health Nurse Practitioner
  • Rockville, MD
National Provider Identifier
1124406749
Registry record updated Nov 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
R189013 Issued in MD
Practice address
6179 Executive Blvd
Rockville, MD 20852-3901
Phone
(240) 994-3824
Fax
(240) 994-3636
NPI assigned
May 14, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X R189013 MD Primary

Addresses

Primary practice location

6179 Executive Blvd
Rockville, MD 20852-3901

Mailing address

9607 Bellevue Dr
Bethesda, MD 20814-3923
Phone (240) 421-7318

Other practice location 1

14121 Parke Long Ct
Chantilly, VA 20151-1647
Phone (571) 446-3780

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
I20160613000077 DC Practitioner - Nurse Practitioner 0143510677 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6179 Executive Blvd
Rockville, MD 20852-3901
Phone (240) 994-3824

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R189013MDMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Juniper Healthcare LLC CurrentSince Jun 1, 2016 Accepting new patients
Privia Medical Group, LLC CurrentSince Aug 10, 2016 Accepting new patients
Privia Medical Group, LLC CurrentSince Aug 10, 2016 Accepting new patients
Privia Care Center LLC CurrentSince Oct 4, 2018 Accepting new patients
Advanced Asthma Allergy and Sinus Center P.C. CurrentSince Mar 18, 2019 Accepting new patients
Afresh Health, LLC CurrentSince Mar 1, 2020 Accepting new patients
Privia Care Center LLC CurrentSince Oct 4, 2018 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Patel Ramanan and Associates P.a. Past Accepting new patients

Locations

4910 Massachusetts Ave NW
Ste 114
Washington, DC 20016
Phone (202) 244-0812

6116 Belair Rd
Baltimore, MD 21206
Phone (410) 426-1424

9055 Chevrolet Dr
Ste 103
Ellicott City, MD 21042
Phone (443) 355-6290

12021 Livingston Rd
Ft Washington, MD 20744
Phone (301) 292-0300

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

6179 Executive Blvd
Rockville, MD 20852
Phone (240) 994-3824

9450 Marlboro Pike
Ste 19
Upper Marlboro, MD 20772
Phone (301) 599-5401

Interoperability endpoints

  • Direct secure messaging: sylvie.tchuindjo@advancedasthmaallergyandsinus.chartmakerdirect.com

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1431561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605571200000",
    "number": "1124406749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9607 BELLEVUE DR",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208143923",
            "telephone_number": "240-421-7318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6179 EXECUTIVE BLVD",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208523901",
            "telephone_number": "240-994-3824",
            "fax_number": "240-994-3636"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14121 Parke Long Ct",
            "address_purpose": "LOCATION",
            "city": "Chantilly",
            "state": "VA",
            "postal_code": "201511647",
            "country_code": "US",
            "telephone_number": "571-446-3780",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TCHUINDJO",
        "first_name": "SYLVIE",
        "middle_name": "T",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-14",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MD",
            "license": "R189013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.