Individual provider Active NPI

Therese Nwancha

  • Case Manager/Care Coordinator
  • New Carrollton, MD
National Provider Identifier
1245617901
Registry record updated Jun 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
7851 Riverdale Rd Apt 202
New Carrollton, MD 20784
Phone
(202) 705-3114
NPI assigned
May 1, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X HHA 11235 DC
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

7851 Riverdale Rd Apt 202
New Carrollton, MD 20784

Mailing address

7851 Riverdale Rd Apt 202
New Carrollton, MD 20784-4004
Phone (202) 705-3114

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

LicenseStateTypeSpecialty
HHA 11235DCMDNursing Facility/Intermediate Care Facility

NPI Registry JSON

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

{
    "created_epoch": "1430438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686700800000",
    "number": "1245617901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7851 RIVERDALE RD APT 202",
            "city": "NEW CARROLLTON",
            "state": "MD",
            "postal_code": "207844004",
            "telephone_number": "202-705-3114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7851 RIVERDALE RD APT 202",
            "city": "NEW CARROLLTON",
            "state": "MD",
            "postal_code": "20784",
            "telephone_number": "202-705-3114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWANCHA",
        "first_name": "THERESE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-01",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "DC",
            "license": "HHA 11235",
            "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 Jun 14, 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.

Verify at the official NPI Registry.