Individual provider Active NPI

Maria Neh Tancho

  • Psychiatric/Mental Health Nurse Practitioner
  • Laurel, MD
National Provider Identifier
1316404353
Registry record updated Oct 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R188505 Issued in MD
Practice address
13715 Oaklands Manor Dr
Laurel, MD 20708-1430
Phone
(240) 899-9513
NPI assigned
Feb 26, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R188505 MD Primary

Addresses

Primary practice location

13715 Oaklands Manor Dr
Laurel, MD 20708-1430

Mailing address

13715 Oaklands Manor Dr
Laurel, MD 20708-1430
Phone (240) 899-9513

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 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

Enrollment IDStateProvider typePAC IDDetails
I20190905001381 MD Practitioner - Nurse Practitioner 4385973080 Reassigns benefits to 1 organization
I20191030003005 DC Practitioner - Nurse Practitioner 4385973080 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New Living Health Care Services LLCGroup PAC ID 1052748258, 5 clinicians

Practice addresses (Care Compare)

350 Eastern Ave NE
Washington, DC 20019-2833
Phone (202) 248-1422

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R188505MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lifebridge Community Physicians, Inc CurrentSince Apr 30, 2022 Accepting new patients
New Living Health Care Services LLC CurrentSince Jul 20, 2021 Accepting new patients
Kinara Health and Home Care Services LLC CurrentSince Jun 28, 2024 Accepting new patients
Lifebridge Community Physicians, Inc Current Accepting new patients
R L Blissful Medical Clinic, LLC Psychiatric/Mental Health CurrentSince Jan 14, 2023 Accepting new patients
Lifebridge Community Physicians Inc CurrentSince Apr 30, 2022 Accepting new patients

Locations

350 Eastern Ave NE
#403
Washington, DC 20019

2027 Martin Luther King Jr Ave SE
Washington, DC 20020
Phone (202) 506-5529

7603 Georgia Ave NW
Ste 301
Washington, DC 20012
Phone (202) 506-5529

350 Eastern Ave NE
Washington, DC 20019
Phone (202) 248-1356

2000 W Baltimore St
Baltimore, MD 21223
Phone (410) 362-3075

2401 W Belvedere Ave
Baltimore, MD 21215

410 Malcolm Dr
Ste A
Westminster, MD 21157
Phone (410) 876-1633

Organizations & group practices 6

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": "1551139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698105600000",
    "number": "1316404353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13715 OAKLANDS MANOR DR",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207081430",
            "telephone_number": "240-899-9513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13715 OAKLANDS MANOR DR",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207081430",
            "telephone_number": "240-899-9513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANCHO",
        "first_name": "MARIA",
        "middle_name": "NEH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-26",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R188505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

Verify at the official NPI Registry.