Individual provider Active NPI

Memouna Manjeli Foudjou

  • Family Nurse Practitioner
  • Rockville, MD
National Provider Identifier
1578967972
Registry record updated Oct 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2013014606 Issued in MD
Practice address
7955 Tuckerman LN
Rockville, MD 20854-3243
Phone
(866) 389-2727
NPI assigned
Oct 14, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2013014606 MD Primary

Addresses

Primary practice location

7955 Tuckerman LN
Rockville, MD 20854-3243

Mailing address

2600 Queens Chapel Rd Apt 203
Hyattsville, MD 20782-3653
Phone (202) 489-1619

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
I20150128000400 DC Practitioner - Nurse Practitioner 1658695440 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Care AssociatesGroup PAC ID 8325283229, 11 clinicians

Practice addresses (Care Compare)

702 Russell Ave
Suite 100
Gaithersburg, MD 20877-2605
Phone (301) 330-0006

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2013014606MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Care Associates CurrentSince Feb 1, 2019 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

8945 N Westland Dr
Gaithersburg, MD 20877
Phone (301) 330-0006

702 Russell Ave
Ste 100
Gaithersburg, MD 20877
Phone (301) 330-0006

Interoperability endpoints

  • Direct secure messaging: memouna.foudjou.1@29745.direct.athenahealth.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/IJIAAA

Organizations & group practices 2

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": "1413244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413244800000",
    "number": "1578967972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 QUEENS CHAPEL RD APT 203",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207823653",
            "telephone_number": "202-489-1619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7955 TUCKERMAN LN",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208543243",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOUDJOU",
        "first_name": "MEMOUNA",
        "middle_name": "MANJELI",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-14",
        "last_updated": "2014-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "2013014606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.