Active NPI
Emelda Mati Che
- Family Nurse Practitioner
- Washington, DC
National Provider Identifier
1134482433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R197388
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| RN1024577 | DC | MD | Home Health Registered Nurse |
| R197388 | MD | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| I C Care Corporation | Current | 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.
-
- Home Health Agency
- Bowie, MD
- NPI 1235758137
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.