Individual provider Active NPI

Sonia Tchatchouang Fanmegne

  • Student in an Organized Health Care Education/Training Program
  • New Carrollton, MD
National Provider Identifier
1508231523
Registry record updated Dec 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
HHA10503 Issued in DC
Practice address
7779 Riverdale Rd
Apt 303
New Carrollton, MD 20784-3939
Phone
(202) 725-0691
NPI assigned
Dec 2, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X HHA10503 DC Primary

Addresses

Primary practice location

7779 Riverdale Rd
Apt 303
New Carrollton, MD 20784-3939

Mailing address

7779 Riverdale Rd
Apt 303
New Carrollton, MD 20784-3939
Phone (202) 725-0691

Other identifiers 1

IdentifierTypeStateIssuer
HHA10503MedicaidDC

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

State licenses

LicenseStateTypeSpecialty
HHA10503DCMDStudent in an Organized Health Care Education/Training Program

NPI Registry JSON

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

{
    "created_epoch": "1449014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449014400000",
    "number": "1508231523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7779 RIVERDALE RD",
            "address_2": "APT 303",
            "city": "NEW CARROLLTON",
            "state": "MD",
            "postal_code": "207843939",
            "telephone_number": "202-725-0691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7779 RIVERDALE RD",
            "address_2": "APT 303",
            "city": "NEW CARROLLTON",
            "state": "MD",
            "postal_code": "207843939",
            "telephone_number": "202-725-0691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TCHATCHOUANG FANMEGNE",
        "first_name": "SONIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-02",
        "last_updated": "2015-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "DC",
            "license": "HHA10503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HHA10503",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Carrollton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2015; 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.