Active NPI
Roland Ayuhmbi Tanifum
- Case Manager/Care Coordinator
- Laurel, MD
National Provider Identifier
1437988185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 9707 Evening Primrose Dr Apt 1C
Laurel, MD 20723-6322 - Phone
- (540) 394-8316
- NPI assigned
- Jul 31, 2024
- Last updated
- Jul 20, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
9707 Evening Primrose Dr Apt 1C
Laurel, MD 20723-6322
Mailing address
4960 Crooked Creek CT
Waldorf, MD 20602-3185
Phone (540) 394-8316
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784505600000",
"number": "1437988185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4960 CROOKED CREEK CT",
"city": "WALDORF",
"state": "MD",
"postal_code": "206023185",
"telephone_number": "540-394-8316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9707 EVENING PRIMROSE DR APT 1C",
"city": "LAUREL",
"state": "MD",
"postal_code": "207236322",
"telephone_number": "540-394-8316"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANIFUM",
"first_name": "ROLAND",
"middle_name": "AYUHMBI",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-07-31",
"last_updated": "2026-07-20",
"certification_date": "2026-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laurel, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.