Active NPI
Caroline Tcheffo, CRNP
- Registered Nurse
- Bowie, MD
National Provider Identifier
1720331945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN1012449
- Practice address
- 4812 Lakeview LN
Bowie, MD 20720-4247 - Phone
- (240) 705-3934
- Fax
- (202) 469-4183
- NPI assigned
- Oct 25, 2012
- Last updated
- Jun 4, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F11180833 | MD | |
| Registered Nurse | 163W00000X | RN1012449 | DC | Primary |
Addresses
Primary practice location
4812 Lakeview LN
Bowie, MD 20720-4247
Mailing address
7207 Hanover Pkwy Ste a
Greenbelt, MD 20770-2089
Phone (301) 447-4093
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN1012449 | DC | MD | Registered Nurse |
| F11180833 | MD | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Firstchoice Medical Services LLC | Current | Accepting new patients | |
| Amarah Care Nursing Services LLC | Current | Accepting new patients | |
| Wayne Medical Associate, Inc. | Multi-Specialty | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Home Health Agency
- Takoma Park, MD
- NPI 1295421188
-
- Primary Care Clinic/Center
- Takoma Park, MD
- NPI 1043840408
-
- Geriatric Medicine (Internal Medicine) Physician
- Greenbelt, MD
- NPI 1598252371
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559606400000",
"number": "1720331945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7207 HANOVER PKWY STE A",
"city": "GREENBELT",
"state": "MD",
"postal_code": "207702089",
"telephone_number": "301-447-4093",
"fax_number": "240-553-7045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4812 LAKEVIEW LN",
"city": "BOWIE",
"state": "MD",
"postal_code": "207204247",
"telephone_number": "240-705-3934",
"fax_number": "202-469-4183"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TCHEFFO",
"first_name": "CAROLINE",
"name_prefix": "Mrs.",
"credential": "CRNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-10-25",
"last_updated": "2019-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "F11180833",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "DC",
"license": "RN1012449",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bowie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.