Derick Tanto Nyam

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

200004455 Issued in DC

Practice address

423 Kettering Dr
Upper Marlboro, MD 20774-1522

Phone

(301) 531-0887

NPI assigned

Apr 14, 2025

Last updated

Apr 14, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1744588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1184419582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 KETTERING DR",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207741522",
            "telephone_number": "301-531-0887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 KETTERING DR",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207741522",
            "telephone_number": "301-531-0887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYAM",
        "first_name": "DERICK TANTO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-04-14",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "DC",
            "license": "200004455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Nwokeafor
• Gloria Ijeoma Nwosu-Adigwe, FNP, RN, O.T.
• Patience Nwosu, C&O HEALTHCARE
• Ndoh Kereth Nya
• Courage Tewah Nyah
• Christine Nyambati, RN
• Endah Neh Nyambi
• Ernest Nyambi
• Diana Nyanzu, RN
• Ndejieh P Nyiawung

• Home Health Aide in Upper Marlboro, MD
• Providers in Upper Marlboro, MD by specialty
• Home Health Aide in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.