Active NPI
Sandie Helyette Lonfo Lontouo, FNP
- Family Nurse Practitioner
- Hyattsville, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AC003638
- Practice address
- 8700 Central Ave Ste 302a
Hyattsville, MD 20785-4853 - Phone
- (301) 613-9295
- NPI assigned
- Dec 28, 2020
- Last updated
- Dec 5, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 424985200 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC003638 | MD | MD | Family Nurse Practitioner |
| 0024180027 | VA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthy Choice Family Clinic and Urgent Care, LLC | Current | Accepting new patients | |
| Healthy Choice Family Clinic and Urgent Care, LLC | Current | Accepting new patients | |
| Greater Baden Medical Service Incorporated | Current | Accepting new patients | |
| Greater Baden Medical Service Incorporated | Family Medicine | Current | 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.
-
- Federally Qualified Health Center (FQHC)
- Brandywine, MD
- NPI 1912927344
DC, Family Medicine
-
- Primary Care Clinic/Center
- Landover, MD
- NPI 1003236001
DC
-
- Federally Qualified Health Center (FQHC)
- Lexington Park, MD
- NPI 1487469243
-
- Urgent Care Clinic/Center
- Oxon Hill, MD
- NPI 1194511717
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; 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.