Berthe I Tchaya Noubossie

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

R215535 Issued in MD

Practice address

8210 Castanea LN
Derwood, MD 20855-2581

Phone

(301) 549-0335

NPI assigned

Aug 7, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MD, DC2 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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• SP-Health LLC

  • Family Nurse Practitioner
  • Derwood, MD
  • NPI 1598434912

  DC

  Medicare reassignment NPD
• SP-Healthcare LLC

  • Nurse Practitioner
  • Derwood, MD
  • NPI 1699524553
  NPD

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

{
    "created_epoch": "1722988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743724800000",
    "number": "1801626437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3522 LADOVA WAY",
            "city": "SPRINGDALE",
            "state": "MD",
            "postal_code": "20774",
            "telephone_number": "240-383-0104"
        },
        {
            "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": "301-549-0335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TCHAYA NOUBOSSIE",
        "first_name": "BERTHE",
        "middle_name": "I",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-07",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "DC",
            "license": "RN1037458",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R215535",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R215535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cherrie Tamakloe
• Alexander Tan
• Genevieve Tatchou Nganou
• Ledrea Taylor
• Terisia Tazewell
• Allyson Testamark
• Alison Tett
• Teunis Vision Center
• The Pediatric Development Center
• Three Creek Dentistry, LLC

• Nurse Practitioner in Derwood, MD
• Providers in Derwood, MD by specialty
• Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.