Valery Nguh

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

NP1039623 Issued in DC

Practice address

4645 Nannie Helen Burroughs Ave NE DC Suite 308
Washington, DC 20019

Phone

(240) 481-5212

NPI assigned

Nov 5, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 6

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Radiance Enterprise LLC

  • Developmental Disabilities Clinic/Center
  • Washington, DC
  • NPI 1922755800

  Home Health

  NPD Authorized official

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

{
    "created_epoch": "1636070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1821753765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15001 JERIMIAH LN",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207217224",
            "telephone_number": "240-481-5212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4645 NANNIE HELEN BURROUGHS AVE NE DC SUITE 308",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20019",
            "telephone_number": "240-481-5212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUH",
        "first_name": "VALERY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-11-05",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SH0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Home Health",
            "state": "MD",
            "license": "R219761",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "DC",
            "license": "NP1039623",
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "DC",
            "license": "RN1039623",
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": "MD",
            "license": "R219761",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "DC",
            "license": "RN1039623",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": "MD",
            "license": "R219761",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "87-3006602",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bert-Destiny Tekum Ngufor
• Blaise Ngufor
• Clementine Ngufor
• Prosper M Ngufor
• Jacqueline Nguh
• Kynaston Nguiejang
• Caroline Nguiem Sop Tigoum Epse Mofe
• Theodore Nguiffo
• Etienne Nguimfack
• Odile S. Nguini Edzoa

• Psychiatric/Mental Health Nurse Practitioner in Washington, DC
• Providers in Washington, DC by specialty
• Psychiatric/Mental Health Nurse Practitioner in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2026; 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.