Individual provider Active NPI

Tonisha J. Melvin, NP

  • Adult Health Nurse Practitioner
  • Kensington, MD
National Provider Identifier
1518380773
Registry record updated Mar 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
NP500002931 Issued in DC
Practice address
10400 Connecticut Ave Ste C
Kensington, MD 20895-3963
Phone
(240) 669-7496
Fax
(301) 321-7800
NPI assigned
Jan 23, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN235296 GA
Nurse Practitioner 363L00000X 740463 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NP500002931 DC
Primary Care Nurse Practitioner 363LP2300X 0024180646 VA
Primary Care Nurse Practitioner 363LP2300X R244933 MD
Adult Health Nurse Practitioner 363LA2200X NP500002931 DC Primary

Addresses

Primary practice location

10400 Connecticut Ave Ste C
Kensington, MD 20895-3963

Mailing address

10421 Motor City Dr Ste 341334
Bethesda, MD 20817-9996
Phone (706) 504-6384

Other practice location 1

1 Freedom Way
Augusta, GA 30904-6258
Phone (706) 733-0188

Other practice location 2

50 Irving St NW
Washington, DC 20422-6258
Phone (706) 504-6384

Other practice location 3

10421 Motor City Dr Ste 341334
Bethesda, MD 20817-9996
Phone (706) 504-6384

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
740463TXMDNurse Practitioner
NP500002931DCMDPsychiatric/Mental Health Nurse Practitioner
R244933MDMDPrimary Care Nurse Practitioner
0024180646VAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Melvin Investment Group, LLC Psychiatric/Mental Health CurrentSince Jul 17, 2022 Accepting new patients

Locations

10421 Motor City Dr
Ste 341334
Bethesda, MD 20817
Phone (706) 504-6384

10400 Connecticut Ave
Ste 206
Kensington, MD 20895
Phone (240) 744-0001

Organizations & group practices 1

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": "1390435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743120000000",
    "number": "1518380773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10421 MOTOR CITY DR STE 341334",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208179996",
            "telephone_number": "706-504-6384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10400 CONNECTICUT AVE STE C",
            "city": "KENSINGTON",
            "state": "MD",
            "postal_code": "208953963",
            "telephone_number": "240-669-7496",
            "fax_number": "301-321-7800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Freedom Way",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309046258",
            "country_code": "US",
            "telephone_number": "706-733-0188",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "50 Irving St NW",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "204226258",
            "country_code": "US",
            "telephone_number": "706-504-6384",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10421 Motor City Dr Ste 341334",
            "address_purpose": "LOCATION",
            "city": "Bethesda",
            "state": "MD",
            "postal_code": "208179996",
            "country_code": "US",
            "telephone_number": "706-504-6384",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MELVIN",
        "first_name": "TONISHA",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-23",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN235296",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "740463",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "DC",
            "license": "NP500002931",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "VA",
            "license": "0024180646",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MD",
            "license": "R244933",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "DC",
            "license": "NP500002931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kensington, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2025; 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.