Organization Active NPI

SP-Healthcare LLC

  • Nurse Practitioner
  • Derwood, MD
National Provider Identifier
1699524553
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
SP-HEALTHCARE LLC
Practice address
8210 Castanea LN
Derwood, MD 20855-2581
Phone
(240) 893-1889
Fax
(866) 559-0928
NPI assigned
May 14, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2024

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

Authorized official

Name
Ginette F Ndingue, NPNPI 1770015794
Title
Nurse Practitioner
Phone
(240) 893-1889

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

8210 Castanea LN
Derwood, MD 20855-2581

Mailing address

8210 Castanea LN
Derwood, MD 20855-2581
Phone (240) 893-1889

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1715644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715644800000",
    "number": "1699524553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8210 CASTANEA LN",
            "city": "DERWOOD",
            "state": "MD",
            "postal_code": "208552581",
            "telephone_number": "240-893-1889",
            "fax_number": "866-559-0928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8210 CASTANEA LN",
            "city": "DERWOOD",
            "state": "MD",
            "postal_code": "208552581",
            "telephone_number": "240-893-1889",
            "fax_number": "866-559-0928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SP-HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-14",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A",
        "authorized_official_last_name": "NDINGUE",
        "authorized_official_first_name": "GINETTE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "240-893-1889",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Derwood, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.

Verify at the official NPI Registry.