Active NPI
Lordin Apuongho
- Community Health Worker
- Greenbelt, MD
National Provider Identifier
1639947534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Practice address
- 6305 Ivy LN Ste 610
Greenbelt, MD 20770-6363 - Phone
- (202) 790-8903
- Fax
- (301) 889-9735
- NPI assigned
- Dec 20, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Behavior Technician | 106S00000X | MD | ||
| Case Manager/Care Coordinator | 171M00000X | |||
| Community Health Worker | 172V00000X | Primary |
Addresses
Primary practice location
6305 Ivy LN Ste 610
Greenbelt, MD 20770-6363
Mailing address
6707 Ammendale Way
Beltsville, MD 20705-1442
Phone (240) 791-1656
Other practice location 1
6707 Ammendale Way
Beltsville, MD 20705-1442
Phone (240) 791-1656
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Milestone Corp | Current | Accepting new patients |
Locations
6305 Ivy Ln
Ste 610
Greenbelt, MD 20770
Phone (202) 644-2483
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.
-
- Behavior Analyst
- Beltsville, MD
- NPI 1083243208
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1703030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731369600000",
"number": "1639947534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6707 AMMENDALE WAY",
"city": "BELTSVILLE",
"state": "MD",
"postal_code": "207051442",
"telephone_number": "240-791-1656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6305 IVY LN STE 610",
"city": "GREENBELT",
"state": "MD",
"postal_code": "207706363",
"telephone_number": "202-790-8903",
"fax_number": "301-889-9735"
}
],
"practiceLocations": [
{
"address_1": "6707 Ammendale Way",
"address_purpose": "LOCATION",
"city": "Beltsville",
"state": "MD",
"postal_code": "207051442",
"country_code": "US",
"telephone_number": "240-791-1656",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "APUONGHO",
"first_name": "LORDIN",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-12-20",
"last_updated": "2024-11-12",
"certification_date": "2024-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "MD",
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenbelt, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.