Individual provider Active NPI

Valmy Nkienyack Fotendong

  • Psychiatric/Mental Health Nurse Practitioner
  • Washington, DC
National Provider Identifier
1730543281
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
NPI1730543281 Issued in DC
Practice address
2703 Fort Baker Dr SE
Washington, DC 20020-7274
Phone
(240) 244-4863
Fax
(443) 513-2664
NPI assigned
Apr 11, 2016
Last updated
Jul 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NPI1730543281 DC Primary
Home Health Aide 374U00000X NU

Addresses

Primary practice location

2703 Fort Baker Dr SE
Washington, DC 20020-7274

Mailing address

7375 Executive PL
Lanham, MD 20706-2278
Phone (301) 937-0188

Other practice location 1

1800 Orleans St
Baltimore, MD 21287-0010
Phone (410) 955-5000

Other practice location 2

3218 Winter Park Ct
Upper Marlboro, MD 20774-7550
Phone (301) 675-2451

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250214002791 DC Practitioner - Nurse Practitioner 8628508942 Reassigns benefits to 1 organization
I20250410001814 MD Practitioner - Nurse Practitioner 8628508942 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Denoor Healthcare Services IncGroup PAC ID 8921490566, 2 clinicians

Practice addresses (Care Compare)

1935 -1937 W Pratt St
First Floor
Baltimore, MD 21223-2251
Phone (301) 820-5593

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP1042778DCMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Unified Healthcare Services LLC Psychiatric/Mental Health CurrentSince Feb 12, 2025 Accepting new patients
Unified Healthcare Services LLC Psychiatric/Mental Health Current Accepting new patients
Denoor Healthcare Services Inc CurrentSince Feb 1, 2025 Accepting new patients
Denoor Healthcare Services Inc PastSince Mar 7, 2021 Accepting new patients
Mesk Medical Group Psychiatric/Mental Health Past Accepting new patients
Family Service Foundation, Inc Past Accepting new patients
1977 Enterprise LLC Psychiatric/Mental Health Past Accepting new patients

Locations

1935 W Pratt St
Baltimore, MD 21223
Phone (443) 449-6919

Organizations & group practices 7

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": "1460332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783555200000",
    "number": "1730543281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7375 EXECUTIVE PL",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207062278",
            "telephone_number": "301-937-0188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2703 FORT BAKER DR SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200207274",
            "telephone_number": "240-244-4863",
            "fax_number": "443-513-2664"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 Orleans St",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212870010",
            "country_code": "US",
            "telephone_number": "410-955-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3218 Winter Park Ct",
            "address_purpose": "LOCATION",
            "city": "Upper Marlboro",
            "state": "MD",
            "postal_code": "207747550",
            "country_code": "US",
            "telephone_number": "301-675-2451",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOTENDONG",
        "first_name": "VALMY",
        "middle_name": "NKIENYACK",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-11",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "DC",
            "license": "NPI1730543281",
            "primary": true
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.