Charlotte Ebong Ndema, APRN-FAMILY

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R227510 Issued in MD

Practice address

3003 Hospital Dr
Cheverly, MD 20785-1194

Phone

(301) 583-3700

Fax

(301) 583-3735

NPI assigned

Nov 3, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Interoperability endpoints

• Direct secure messaging: cndema337201@direct.ochin.org

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

{
    "created_epoch": "1509667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551312000000",
    "number": "1326550963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4211 FALCONWOOD PL",
            "city": "BURTONSVILLE",
            "state": "MD",
            "postal_code": "208661300",
            "telephone_number": "301-325-2008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 HOSPITAL DR",
            "city": "CHEVERLY",
            "state": "MD",
            "postal_code": "207851194",
            "telephone_number": "301-583-3700",
            "fax_number": "301-583-3735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NDEMA",
        "first_name": "CHARLOTTE",
        "middle_name": "EBONG",
        "name_prefix": "Mrs.",
        "credential": "APRN-FAMILY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-03",
        "last_updated": "2019-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R227510",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "R227510",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Nurse Practitioner in Cheverly, MD
• Providers in Cheverly, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2019; 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.