Individual provider Active NPI

Sandrine D Noutchia, HHA

  • Psychiatric/Mental Health Nurse Practitioner
  • Washington, DC
National Provider Identifier
1447510375
Registry record updated Jan 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R203718 Issued in MD
Practice address
901 1St St NW
Washington, DC 20001-1403
Phone
(202) 282-3004
Fax
(202) 282-2057
NPI assigned
May 25, 2012
Reactivated
Jan 13, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R203718 MD Primary

Addresses

Primary practice location

901 1St St NW
Washington, DC 20001-1403

Mailing address

901 1St St NW
Washington, DC 20001-1403
Phone (202) 282-3004

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
I20210419000883 MD Practitioner - Nurse Practitioner 9335557024 Reassigns benefits to 5 organizations
I20210419000997 DC Practitioner - Nurse Practitioner 9335557024 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrahealth LLCGroup PAC ID 3678911625, 47 clinicians
Toller Enterprises, LLCGroup PAC ID 8628481926, 63 clinicians

Practice addresses (Care Compare)

200 Civic Ave
Salisbury, MD 21804-4599
Phone (410) 749-1466

3210 Powder Mill Rd
Hyattsville, MD 20783-1029
Phone (443) 452-9612

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Integrahealth LLC Psychiatric/Mental Health CurrentSince May 16, 2024 Accepting new patients
Toller Enterprises LLC Psychiatric/Mental Health CurrentSince Apr 10, 2024 Accepting new patients
Integrahealth LLC Psychiatric/Mental Health CurrentSince May 16, 2024 Accepting new patients
Psychogeriatric Services LLC CurrentSince Apr 9, 2021 Accepting new patients
Integrahealth LLC Psychiatric/Mental Health CurrentSince Jun 15, 2024 Accepting new patients
Spiritual Healing Psychiatric/Mental Health CurrentSince Sep 3, 2024 Accepting new patients
Spiritual Healing CurrentSince Sep 3, 2024 Accepting new patients
Mental Health Specialty Group PA CurrentSince Aug 1, 2025 Accepting new patients

Locations

1500 K St NW
Ste 200
Washington, DC 20005
Phone (667) 207-3552

821 N Charles St
Baltimore, MD 21201
Phone (443) 452-9612

2232 E Monument St
Baltimore, MD 21205
Phone (667) 207-3552

10 N Rock Glen Rd
Baltimore, MD 21229
Phone (410) 646-2100

3210 Powder Mill Rd
Hyattsville, MD 20783
Phone (301) 937-3939

4101 Old National Pike
Mount Airy, MD 21771
Phone (301) 829-0800

9722 Groffs Mill Dr
Owings Mills, MD 21117
Phone (410) 205-9255

200 Civic Ave
Salisbury, MD 21804
Phone (410) 749-1466

12073 Tech Rd
Ste B
Silver Spring, MD 20904
Phone (240) 396-5873

Organizations & group practices 9

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": "1337904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611014400000",
    "number": "1447510375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 1ST ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200011403",
            "telephone_number": "202-282-3004",
            "fax_number": "202-282-2057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 1ST ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200011403",
            "telephone_number": "202-282-3004",
            "fax_number": "202-282-2057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOUTCHIA",
        "first_name": "SANDRINE",
        "middle_name": "D",
        "credential": "HHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-25",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "deactivation_date": "2020-12-04",
        "reactivation_date": "2021-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R203718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.