Individual provider Active NPI

Emelda Mati Che

  • Family Nurse Practitioner
  • Washington, DC
National Provider Identifier
1134482433
Registry record updated Oct 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R197388 Issued in MD
Practice address
7600 Georgia Ave NW
Suite 323
Washington, DC 20012-1616
Phone
(202) 723-3050
Fax
(202) 723-3065
NPI assigned
Jun 21, 2012
Reactivated
Oct 20, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X RN1024577 DC
Family Nurse Practitioner 363LF0000X R197388 MD Primary

Addresses

Primary practice location

7600 Georgia Ave NW
Suite 323
Washington, DC 20012-1616

Mailing address

10450 Lottsford Rd
Bowie, MD 20721-2734
Phone (301) 925-7707

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
I20220316000192 DC Practitioner - Nurse Practitioner 2466847157 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN1024577DCMDHome Health Registered Nurse
R197388MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
I C Care Corporation CurrentSince Nov 8, 2024 Accepting new patients
Affordable Healthcare Services LLC Current Accepting new patients

Locations

1100 Mercantile Ln
Ste 150
Upper Marlboro, MD 20774
Phone (301) 249-0022

1100 Mercantile Ln
Ste 135
Uppr Marlboro, MD 20774
Phone (301) 772-2202

Organizations & group practices 4

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": "1340236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635120000000",
    "number": "1134482433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10450 LOTTSFORD RD",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207212734",
            "telephone_number": "301-925-7707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 GEORGIA AVE NW",
            "address_2": "SUITE 323",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200121616",
            "telephone_number": "202-723-3050",
            "fax_number": "202-723-3065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHE",
        "first_name": "EMELDA",
        "middle_name": "MATI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-21",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "deactivation_date": "2021-07-22",
        "reactivation_date": "2021-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "DC",
            "license": "RN1024577",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R197388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.