NPIMap

Organization Active NPI

SDM-1 Stop Primary & Urgent Care

  • Urgent Care Clinic/Center
  • Lanham, MD
National Provider Identifier
1316397177
Registry record updated Aug 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
RN1017163 Issued in MD
Legal business name
SDM-1 STOP PRIMARY & URGENT CARE
Practice address
6325 Kinsey Ter
Lanham, MD 20706-2396
Phone
(240) 383-8705
NPI assigned
Jun 13, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2016

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

Authorized official

Name
Mrs. Laure Bertille Ndeutchoua, FNP-CNPI 1013302728
Title
Ceo
Phone
(240) 383-8705

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X RN1017163 MD Primary
Urgent Care Clinic/Center 261QU0200X RN1017163 DC

Addresses

Primary practice location

6325 Kinsey Ter
Lanham, MD 20706-2396

Mailing address

6401 New Hampshire Ave
Suite 100
Hyattsville, MD 20783-3201
Phone (240) 383-8705

Other names 1

  • LAURE B. NDEUTCHOUA Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Laure B Ndeutchoua2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6401 New Hampshire Ave
Ste 100
Hyattsville, MD 20783
Phone (240) 383-8705

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1465776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472083200000",
    "number": "1316397177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6401 NEW HAMPSHIRE AVE",
            "address_2": "SUITE 100",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207833201",
            "telephone_number": "240-383-8705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6325 KINSEY TER",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207062396",
            "telephone_number": "240-383-8705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SDM-1 STOP PRIMARY & URGENT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-13",
        "last_updated": "2016-08-25",
        "status": "A",
        "authorized_official_last_name": "NDEUTCHOUA",
        "authorized_official_first_name": "LAURE",
        "authorized_official_middle_name": "BERTILLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "240-383-8705",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "MD",
            "license": "RN1017163",
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "DC",
            "license": "RN1017163",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LAURE B. NDEUTCHOUA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lanham, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2016; 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.