Individual provider Active NPI

Atemnkeng Cludia Atanga

  • Psychiatric/Mental Health Nurse Practitioner
  • Hagerstown, MD
National Provider Identifier
1851658033
Registry record updated Feb 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R226438 Issued in MD
Practice address
33 W Franklin St Ste 201
Hagerstown, MD 21740-4863
Phone
(240) 706-2216
NPI assigned
Apr 12, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2025

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 R226438 MD Primary
Home Health Aide 374U00000X

Addresses

Primary practice location

33 W Franklin St Ste 201
Hagerstown, MD 21740-4863

Mailing address

5504 Tracey Bruce Dr
Adamstown, MD 21710-8914
Phone (240) 706-2216

Other names 1

  • Atemnkeng Cludia Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240611003466 MD Practitioner - Nurse Practitioner 3678015187 Reassigns benefits to 1 organization
I20241219000448 DC Practitioner - Nurse Practitioner 3678015187 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

176 Thomas Johnson Dr
Suite 204
Frederick, MD 21702-4538
Phone (240) 961-1019

6323 Georgia Ave NW
Suite 360
Washington, DC 20011-1101
Phone (240) 961-1019

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Nov 23, 2024 Accepting new patients
Gio Health Services Inc. CurrentSince Dec 6, 2025 Accepting new patients
Forbs Behavioral Health Services LLC Psychiatric/Mental Health CurrentSince Jan 31, 2024 Accepting new patients
District Healthcare Services, LLC Past Accepting new patients

Locations

6323 Georgia Ave NW
Ste 360
Washington, DC 20011
Phone (202) 621-8494

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

176 Thomas Johnson Dr
Ste 204
Frederick, MD 21702
Phone (240) 608-2307

33 W Franklin St
Ste 201
Hagerstown, MD 21740
Phone (240) 200-0961

8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1334188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739491200000",
    "number": "1851658033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5504 TRACEY BRUCE DR",
            "city": "ADAMSTOWN",
            "state": "MD",
            "postal_code": "217108914",
            "telephone_number": "240-706-2216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 W FRANKLIN ST STE 201",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217404863",
            "telephone_number": "240-706-2216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATANGA",
        "first_name": "ATEMNKENG",
        "middle_name": "CLUDIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-12",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R226438",
            "primary": true
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ATEMNKENG",
            "last_name": "CLUDIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hagerstown, MD

Sources for this page

Verify at the official NPI Registry.