Individual provider Active NPI

Didorette Tchuidjang Nzeuche

  • Case Manager/Care Coordinator
  • Washington, DC
National Provider Identifier
1871341677
Registry record updated May 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
00001 Issued in DC
Practice address
4660 Martin Luther King Jr Ave SW Ste A1-3DC
Washington, DC 20032-4933
Phone
(202) 318-0179
NPI assigned
May 8, 2024
Last updated
May 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X 00001 DC Primary

Addresses

Primary practice location

4660 Martin Luther King Jr Ave SW Ste A1-3DC
Washington, DC 20032-4933

Mailing address

7806 Keenan Rd
Glen Burnie, MD 21061-4854
Phone (240) 713-1792

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
00001DCMDCase Manager/Care Coordinator

NPI Registry JSON

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

{
    "created_epoch": "1715126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715126400000",
    "number": "1871341677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7806 KEENAN RD",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210614854",
            "telephone_number": "240-713-1792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4660 MARTIN LUTHER KING JR AVE SW STE A1-3DC",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200324933",
            "telephone_number": "202-318-0179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NZEUCHE",
        "first_name": "DIDORETTE",
        "middle_name": "TCHUIDJANG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-08",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "DC",
            "license": "00001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; 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.