Henriette N Kamgang-Noubissi, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R165549 Issued in MD

Practice address

9318 Gaither Rd Ste 205
Gaithersburg, MD 20877-1409

Phone

(301) 820-7200

Fax

(301) 778-7026

NPI assigned

Mar 26, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Chinese Culture and Community Service Center, Inc.

  • Primary Care Clinic/Center
  • Gaithersburg, MD
  • NPI 1033509591

  DC

  Medicare reassignment NPD
• Chinese Culture and Community Service Center, Inc.

  • Occupational Therapist
  • Gaithersburg, MD
  • NPI 1891328563
  NPD
• My Med Clinic PA

  • Psychiatry Physician
  • Germantown, MD
  • NPI 1336927656
  NPD

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

{
    "created_epoch": "1553558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647820800000",
    "number": "1649731563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19731 EXECUTIVE PARK CIR",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208742642",
            "telephone_number": "301-540-1332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9318 GAITHER RD STE 205",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208771409",
            "telephone_number": "301-820-7200",
            "fax_number": "301-778-7026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMGANG-NOUBISSI",
        "first_name": "HENRIETTE",
        "middle_name": "N",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-26",
        "last_updated": "2022-03-21",
        "certification_date": "2022-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R165549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Green Kalamets
• Antonio Kallungal
• Fatmata Tity Kamara, LCSW-C
• Janet Kamendi, CRNP
• Violet Kamendi, CRNP
• Liliane Sorelle K Kamgang, HHA
• Luanne Lamaster Kane, RPH
• Patricia Lynn Kane, O.T.
• Diana Dahee Kang, PT, DPT
• Jinah Kang

• Family Nurse Practitioner in Gaithersburg, MD
• Providers in Gaithersburg, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.