Active NPI
Jeannette Nguiedem
- Behavior Technician
- Germantown, MD
National Provider Identifier
1689318974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-22--11197
- Practice address
- 12920 Summit Ridge Ter
Germantown, MD 20874-1819 - Phone
- (202) 573-3282
- NPI assigned
- Apr 23, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-22--11197 | MD | Primary |
Addresses
Primary practice location
12920 Summit Ridge Ter
Germantown, MD 20874-1819
Mailing address
12920 Summit Ridge Ter
Germantown, MD 20874-1819
Phone (202) 573-3282
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Health Information Exchange (HIE) |
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
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-22--11197 | MD | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650672000000",
"number": "1689318974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12920 SUMMIT RIDGE TER",
"city": "GERMANTOWN",
"state": "MD",
"postal_code": "208741819",
"telephone_number": "202-573-3282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12920 SUMMIT RIDGE TER",
"city": "GERMANTOWN",
"state": "MD",
"postal_code": "208741819",
"telephone_number": "202-573-3282"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUIEDEM",
"first_name": "JEANNETTE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-23",
"last_updated": "2022-04-23",
"certification_date": "2022-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "MD",
"license": "RBT-22--11197",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "email",
"affiliation": "N",
"endpointDescription": "Computer",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "12920 Summit Ridge Ter",
"city": "Germantown",
"state": "MD",
"country_code": "US",
"postal_code": "208741819",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Germantown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.