Individual provider Active NPI

Joan Nyongsona Forcham

  • Registered Nurse
  • Upper Marlboro, MD
National Provider Identifier
1538899349
Registry record updated Jul 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN1044177 Issued in DC
Practice address
4711 Tripper LN
Upper Marlboro, MD 20772
Phone
(301) 251-4500
NPI assigned
Jun 14, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2022026471 MD
Registered Nurse 163W00000X RN1044177 DC Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NP1044177 DC

Addresses

Primary practice location

4711 Tripper LN
Upper Marlboro, MD 20772

Mailing address

4711 Tripper LN
Upper Marlboro, MD 20772-6038
Phone (301) 379-0719

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20230127001640 DC Practitioner - Nurse Practitioner 2961873021 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN1044177DCMDRegistered Nurse
NP1044177DCMDPsychiatric/Mental Health Nurse Practitioner
2022026471MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Health Care, LLC Current Accepting new patients
Continuum Medical Staffing Agency LLC CurrentSince Mar 19, 2023 Accepting new patients
Sonia Health and Wellness Services LLC CurrentSince Nov 10, 2022 Accepting new patients
Premier Health Care LLC CurrentSince Apr 5, 2023 Accepting new patients

Locations

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

Organizations & group practices 4

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": "1655164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751673600000",
    "number": "1538899349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4711 TRIPPER LN",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207726038",
            "telephone_number": "301-379-0719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4711 TRIPPER LN",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "20772",
            "telephone_number": "301-251-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORCHAM",
        "first_name": "JOAN",
        "middle_name": "NYONGSONA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-14",
        "last_updated": "2025-07-05",
        "certification_date": "2025-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "2022026471",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "DC",
            "license": "RN1044177",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "DC",
            "license": "NP1044177",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Marlboro, MD

Sources for this page

Verify at the official NPI Registry.