Individual provider Active NPI

Susan Ehode Ngwese

  • Home Health Aide
  • Cheverly, MD
National Provider Identifier
1225399140
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Practice address
6509 Landover Rd Apt 104
Cheverly, MD 20785-1419
Phone
(202) 483-2657
NPI assigned
Jun 7, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X CN221201806 DC
Home Health Aide 374U00000X Primary

Addresses

Primary practice location

6509 Landover Rd Apt 104
Cheverly, MD 20785-1419

Mailing address

6509 Landover Rd Apt 104
Cheverly, MD 20785-1419
Phone (202) 483-2657

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250429000221 DC Practitioner - Nurse Practitioner 1759807290 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CN221201806DCMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
S and E Mind Reset Center LLC CurrentSince Mar 19, 2025 Accepting new patients

Locations

1818 New York Ave NE
Ste 206
Washington, DC 20002
Phone (301) 586-7211

Organizations & group practices 1

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": "1339027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1225399140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6509 LANDOVER RD APT 104",
            "city": "CHEVERLY",
            "state": "MD",
            "postal_code": "207851419",
            "telephone_number": "202-483-2657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6509 LANDOVER RD APT 104",
            "city": "CHEVERLY",
            "state": "MD",
            "postal_code": "207851419",
            "telephone_number": "202-483-2657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGWESE",
        "first_name": "SUSAN",
        "middle_name": "EHODE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-07",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "DC",
            "license": "CN221201806",
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheverly, MD

Sources for this page

Verify at the official NPI Registry.