Active NPI
Senait Tedla
- Family Nurse Practitioner
- Gaithersburg, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R216057
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| R216057 | MD | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minuteclinic LLC | Family | Current | Accepting new patients |
| Minuteclinic Primary Care Maryland LLC | Family | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.