Active NPI
Terence Azinwi Niba Tanifum
- Case Manager/Care Coordinator
- Washington, DC
National Provider Identifier
1174216253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 4017 Minnesota Ave NE
Washington, DC 20019-3541 - Phone
- (202) 388-9202
- NPI assigned
- Jun 2, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
4017 Minnesota Ave NE
Washington, DC 20019-3541
Mailing address
9707 Evening Primrose Dr Apt 1C
Laurel, MD 20723-6322
Phone (540) 255-8896
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685664000000",
"number": "1174216253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9707 EVENING PRIMROSE DR APT 1C",
"city": "LAUREL",
"state": "MD",
"postal_code": "207236322",
"telephone_number": "540-255-8896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4017 MINNESOTA AVE NE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200193541",
"telephone_number": "202-388-9202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANIFUM",
"first_name": "TERENCE",
"middle_name": "AZINWI NIBA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-06-02",
"last_updated": "2023-06-02",
"certification_date": "2023-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"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 Jun 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.