Dereck Tingem

Primary specialty

Home Health AideTaxonomy code 374U00000X

Practice address

6411 Orchard Ave Ste 301
Takoma Park, MD 20912-4712

Phone

(301) 758-6588

NPI assigned

Oct 26, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1540512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540512000000",
    "number": "1346717444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7707 RIVERDALE RD APT 302",
            "city": "NEW CARROLLTON",
            "state": "MD",
            "postal_code": "207843942",
            "telephone_number": "202-250-0283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6411 ORCHARD AVE STE 301",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209124712",
            "telephone_number": "301-758-6588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TINGEM",
        "first_name": "DERECK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-10-26",
        "last_updated": "2018-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emmerencia Tifuh
• Evelin A Tifuh
• Tchanile Iliham Tikpi
• Philip Timbu, HHA
• Mabintou Timite
• Linda C. Tipton, PH.D.
• Mary N Tita
• Mirabel Beh Titachoe
• Emmanuel Tochie
• Latifat Tolani

• Home Health Aide in Takoma Park, MD
• Providers in Takoma Park, MD by specialty
• Home Health Aide in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2018; 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.