SDM-1 Stop Primary & Urgent Care

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

License

R187557 Issued in MD

Legal business name

SDM-1 STOP PRIMARY & URGENT CARE

Practice address

6401 New Hampshire Ave
100
Hyattsville, MD 20783-3201

Phone

(301) 466-3593

Fax

(240) 764-5571

NPI assigned

Jan 13, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Laure Bertille Ndeutchoua, FNP-C, DNPNPI 1013302728

Title

Ceo

Phone

(240) 383-8705

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Laure B Ndeutchoua2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• SDM-1 Stop Primary & Urgent Care

  • Urgent Care Clinic/Center
  • Lanham, MD
  • NPI 1316397177
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Laure B. Ndeutchoua, FNP-C, DNP

  • Family Nurse Practitioner
  • Hyattsville, MD
  • NPI 1013302728

  DC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1452643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612224000000",
    "number": "1124484779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6401 NEW HAMPSHIRE AVE",
            "address_2": "100",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207833201",
            "telephone_number": "301-466-3593",
            "fax_number": "240-764-5571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6401 NEW HAMPSHIRE AVE",
            "address_2": "100",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207833201",
            "telephone_number": "301-466-3593",
            "fax_number": "240-764-5571"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6323 Georgia Ave NW Ste 100",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200111137",
            "country_code": "US",
            "telephone_number": "202-723-4448",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SDM-1 STOP PRIMARY & URGENT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-13",
        "last_updated": "2021-02-02",
        "certification_date": "2021-01-29",
        "status": "A",
        "authorized_official_last_name": "NDEUTCHOUA",
        "authorized_official_first_name": "LAURE",
        "authorized_official_middle_name": "BERTILLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "240-383-8705",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "FNP-C, DNP"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "DC",
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "MD",
            "license": "R187557",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019178107",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014512051",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sara Fiore Schwartz, CRNP
• Kirsten Schwiesow, LGSW
• David L. Scott Jr., D.D.S.
• Scruples Corporation
• Scruples Corporation
• Robyn Seelig
• Self Indulgent Luxe: Health & Wellness
• Ermias A Semaie, DDS
• Precious Semga
• Seraphim Group LLC

• Urgent Care Clinic/Center in Hyattsville, MD
• Providers in Hyattsville, MD by specialty
• Urgent Care Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.