Individual provider Active NPI

Sandie Helyette Lonfo Lontouo, FNP

  • Family Nurse Practitioner
  • Hyattsville, MD
National Provider Identifier
1861089732
Registry record updated Dec 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AC003638 Issued in MD
Practice address
8700 Central Ave Ste 302a
Hyattsville, MD 20785-4853
Phone
(301) 613-9295
NPI assigned
Dec 28, 2020
Last updated
Dec 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2023

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 0024180027 VA
Family Nurse Practitioner 363LF0000X AC003638 MD Primary

Addresses

Primary practice location

8700 Central Ave Ste 302a
Hyattsville, MD 20785-4853

Mailing address

6426 Edsall Rd Apt 202
Alexandria, VA 22312-6465
Phone (571) 232-8958

Other practice location 1

7450 Albert Rd Fl 3
Brandywine, MD 20613-3035
Phone (301) 888-2233

Other identifiers 1

IdentifierTypeStateIssuer
424985200MedicaidMD

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
I20220224000030 DC Practitioner - Nurse Practitioner 6800280462 Reassigns benefits to 2 organizations
I20231213002854 MD Practitioner - Nurse Practitioner 6800280462 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AC003638MDMDFamily Nurse Practitioner
0024180027VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Choice Family Clinic and Urgent Care, LLC Current Accepting new patients
Healthy Choice Family Clinic and Urgent Care, LLC CurrentSince Jan 1, 2022 Accepting new patients
Greater Baden Medical Service Incorporated CurrentSince Dec 4, 2023 Accepting new patients
Greater Baden Medical Service Incorporated Family Medicine CurrentSince Dec 4, 2023 Accepting new patients

Locations

7450 Albert Rd
Fl 3
Brandywine, MD 20613
Phone (301) 599-0460

8030 Matthews Rd
#105107
Bryans Road, MD 20616

1458 Addison Rd S
Capitol Heights, MD 20743
Phone (301) 324-1500

8700 Central Ave
Ste 302A
Landover, MD 20785
Phone (301) 613-9295

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, 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": "1609113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701734400000",
    "number": "1861089732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6426 EDSALL RD APT 202",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223126465",
            "telephone_number": "571-232-8958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 CENTRAL AVE STE 302A",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207854853",
            "telephone_number": "301-613-9295"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7450 Albert Rd Fl 3",
            "address_purpose": "LOCATION",
            "city": "Brandywine",
            "state": "MD",
            "postal_code": "206133035",
            "country_code": "US",
            "telephone_number": "301-888-2233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LONTOUO",
        "first_name": "SANDIE HELYETTE",
        "middle_name": "LONFO",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-28",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024180027",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "AC003638",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "424985200",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyattsville, MD

Sources for this page

Verify at the official NPI Registry.