Individual provider Active NPI

Senait Tedla

  • Family Nurse Practitioner
  • Gaithersburg, MD
National Provider Identifier
1881064046
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R216057 Issued in MD
Practice address
12215 Darnestown Rd
Gaithersburg, MD 20878-2203
Phone
(240) 441-5582
NPI assigned
Sep 30, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R216057 MD Primary

Addresses

Primary practice location

12215 Darnestown Rd
Gaithersburg, MD 20878-2203

Mailing address

14206 Trillium Ter
Silver Spring, MD 20906-2458
Phone (240) 441-5582

Other practice location 1

10134 River Rd
Potomac, MD 20854-4903
Phone (301) 299-8600

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
I20151230000856 MD Practitioner - Nurse Practitioner 0749582278 Reassigns benefits to 2 organizations
I20160210000208 DC Practitioner - Nurse Practitioner 0749582278 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minuteclinic LLCGroup PAC ID 6709850241, 576 clinicians

Practice addresses (Care Compare)

1 CVS Dr
Woonsocket, RI 02895-6146

12215 Darnestown Rd
Gaithersburg, MD 20878-2203
Phone (886) 389-2727

2601 Riva Rd
Annapolis, MD 21401-7304
Phone (866) 389-2727

3300 A Centennial LN
Ellicott City, MD 21042-3600
Phone (866) 389-2727

6480 Old Waterloo Rd
Elkridge, MD 21075-6508
Phone (866) 389-2727

7955 Tuckerman LN
Rockville, MD 20854-3243
Phone (886) 389-2727

8197 Westside Blvd
Fulton, MD 20759-2590
Phone (866) 389-2727

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R216057MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic LLC Family CurrentSince Mar 2, 2018 Accepting new patients
Minuteclinic Primary Care Maryland LLC Family CurrentSince Jul 12, 2025 Accepting new patients

Locations

2601 Riva Rd
Annapolis, MD 21401
Phone (410) 571-2090

7809 Wisconsin Ave
Bethesda, MD 20814
Phone (301) 986-9144

10095 Ward Rd
Dunkirk, MD 20754
Phone (410) 257-0191

12215 Darnestown Rd
Gaithersburg, MD 20878
Phone (301) 948-8010

7955 Tuckerman Ln
Rockville, MD 20854
Phone (301) 299-3717

1001 York Rd
Towson, MD 21204
Phone (410) 823-3900

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

Organizations & group practices 2

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": "1443571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1881064046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14206 TRILLIUM TER",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209062458",
            "telephone_number": "240-441-5582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12215 DARNESTOWN RD",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208782203",
            "telephone_number": "240-441-5582"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10134 River Rd",
            "address_purpose": "LOCATION",
            "city": "Potomac",
            "state": "MD",
            "postal_code": "208544903",
            "country_code": "US",
            "telephone_number": "301-299-8600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEDLA",
        "first_name": "SENAIT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-30",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R216057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

Verify at the official NPI Registry.