Individual provider Active NPI

Christelle Kammeugne Nguewa

  • Nursing Care Agency
  • Silver Spring, MD
National Provider Identifier
1659045508
Registry record updated Jul 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
Practice address
13828 Castle Blvd Apt 201
Silver Spring, MD 20904-7364
Phone
(202) 733-7109
NPI assigned
Aug 4, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN1042529 DC
Nursing Care Agency 251J00000X Primary

Addresses

Primary practice location

13828 Castle Blvd Apt 201
Silver Spring, MD 20904-7364

Mailing address

2418 Merritt Dr Apt 303
Jessup, MD 20794-3967
Phone (240) 705-4683

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

State licenses

LicenseStateTypeSpecialty
RN1042529DCMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1628035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688688000000",
    "number": "1659045508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2418 MERRITT DR APT 303",
            "city": "JESSUP",
            "state": "MD",
            "postal_code": "207943967",
            "telephone_number": "240-705-4683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13828 CASTLE BLVD APT 201",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209047364",
            "telephone_number": "202-733-7109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMMEUGNE NGUEWA",
        "first_name": "CHRISTELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-04",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "DC",
            "license": "RN1042529",
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; 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.