Carine Gouetso Ndeko, CRNP-ADULT

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

R196845 Issued in MD

Practice address

200 Hospital Dr # 300
Glen Burnie, MD 21061-5884

Phone

(410) 837-2050

NPI assigned

Sep 25, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, MD2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Greater Baden Medical Service Incorporated

  • Federally Qualified Health Center (FQHC)
  • Brandywine, MD
  • NPI 1912927344

  DC

  Medicare reassignment NPD
• Krystal Medical Associates LLC

  dba Krystal Medical Associates

  • Primary Care Clinic/Center
  • Glenn Dale, MD
  • NPI 1164604187

  DC

  Medicare reassignment NPD
• Medical Home Development Group

  • Family Medicine Physician
  • Washington, DC
  • NPI 1902232168
  Medicare reassignment NPD
• Unity Health Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • Washington, DC
  • NPI 1093894172
  Medicare reassignment NPD
• Prime Health and Wellness LLC

  • Adult Health Nurse Practitioner
  • Riverdale Park, MD
  • NPI 1730997065
  NPD Authorized official
• Greater Baden Medical Service Incorporated

  • Federally Qualified Health Center (FQHC)
  • Lexington Park, MD
  • NPI 1487469243
  NPD
• Unity Health Care Inc.

  dba Unity Health Pharmacy

  • Community/Retail Pharmacy
  • Washington, DC
  • NPI 1346014412
  NPD
• Partners in Care Network

  dba Picn

  • Health Service Clinic/Center
  • Washington, DC
  • NPI 1275297004
  NPD (past)

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

{
    "created_epoch": "1537833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1306321443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 N CHARLES ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212015505",
            "telephone_number": "410-837-2050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HOSPITAL DR # 300",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615884",
            "telephone_number": "410-837-2050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2112 F St NW Ste 504",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200372761",
            "country_code": "US",
            "telephone_number": "202-684-2784",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4228 Wisconsin Ave NW Ste A",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200162138",
            "country_code": "US",
            "telephone_number": "202-684-2784",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NDEKO",
        "first_name": "CARINE",
        "middle_name": "GOUETSO",
        "credential": "CRNP-ADULT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-25",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MD",
            "license": "R196845",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "DC",
            "license": "NP1024593",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sohrob Anthony Navai, DPT
• Sarah Ncookwa, DNP PMHNP-BC
• Menthol Ndamukong, RN
• Peter Fon Ndang
• Dieudonne Andongma Ndashi
• Josie Oni Ndimkaoha, OT
• Bernice Ndingole, RPH
• Genevieve T. Ndjoko
• Nadege Marie Laure Ndjuiga
• Terence Momoh Ndong, MD

• Primary Care Nurse Practitioner in Glen Burnie, MD
• Providers in Glen Burnie, MD by specialty
• Primary Care Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.