Courage Ntumla Kwi-Mancho, DNP, FNP, PMHNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R190374 Issued in MD

Practice address

9500 Annapolis Rd Ste B5
Lanham, MD 20706-2078

Phone

(301) 494-4060

Fax

(301) 494-4055

NPI assigned

Jun 9, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Desire Healthcare LLC

  • Family Nurse Practitioner
  • Lanham, MD
  • NPI 1922615988
  NPD Authorized official
• Desire Healthcare LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Lanham, MD
  • NPI 1407447568
  NPD (past) Authorized official
• Women Kids & Teens Afterhours

  • Pediatrics Physician
  • Silver Spring, MD
  • NPI 1346595824
  NPD (past)

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

{
    "created_epoch": "1496966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637712000000",
    "number": "1124557327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 ANNAPOLIS RD STE B5",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207062078",
            "telephone_number": "240-505-9321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 ANNAPOLIS RD STE B5",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207062078",
            "telephone_number": "301-494-4060",
            "fax_number": "301-494-4055"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10313 Georgia Ave",
            "address_purpose": "LOCATION",
            "city": "Silver Spring",
            "state": "MD",
            "postal_code": "209025006",
            "country_code": "US",
            "telephone_number": "301-592-0050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KWI-MANCHO",
        "first_name": "COURAGE",
        "middle_name": "NTUMLA",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP, PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-09",
        "last_updated": "2021-11-24",
        "certification_date": "2021-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R190374",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R190374",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DC",
            "license": "RN1016294",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Flavy Nchou Kum Akwa
• Newton Akwa Kum
• Sanai Kureishi, RPH
• Ernest Sivedzem Kwalar
• Vitalis Etiba Kwene
• Amanda Kwok, MS
• Laterrance L Kyler
• Frances Licia Minano Ladaga, M.S.
• Kristen Ladouceur
• Celine Lagam, HHA

• Family Nurse Practitioner in Lanham, MD
• Providers in Lanham, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2021; 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.

Verify at the official NPI Registry.