Individual provider Active NPI

Caroline Tcheffo, CRNP

  • Registered Nurse
  • Bowie, MD
National Provider Identifier
1720331945
Registry record updated Jun 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN1012449 Issued in DC
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, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
RN1012449DCMDRegistered Nurse
F11180833MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Firstchoice Medical Services LLC Current Accepting new patients
Amarah Care Nursing Services LLC Current Accepting new patients
Wayne Medical Associate, Inc. Multi-Specialty PastSince May 20, 2018 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.

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.

Verify at the official NPI Registry.