Active NPI
Divina Nchufoa Ndula
- Case Manager/Care Coordinator
- New Carrollton, MD
National Provider Identifier
1184180549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 7843 Riverdale Rd Apt T3
New Carrollton, MD 20784-4025 - Phone
- (240) 521-8147
- NPI assigned
- Feb 11, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 Aide | 374U00000X | HHA14280 | DC | |
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
7843 Riverdale Rd Apt T3
New Carrollton, MD 20784-4025
Mailing address
10704 Lake Arbor Way
Bowie, MD 20721-3137
Phone (240) 521-8147
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| HHA14280 | DC | MD | Home Health Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690416000000",
"number": "1184180549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10704 LAKE ARBOR WAY",
"city": "BOWIE",
"state": "MD",
"postal_code": "207213137",
"telephone_number": "240-521-8147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7843 RIVERDALE RD APT T3",
"city": "NEW CARROLLTON",
"state": "MD",
"postal_code": "207844025",
"telephone_number": "240-521-8147"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NDULA",
"first_name": "DIVINA NCHUFOA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-02-11",
"last_updated": "2023-07-27",
"certification_date": "2023-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "DC",
"license": "HHA14280",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Carrollton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.