Active NPI
Cynthia Altagracia Tejeda
- Nurse's Aide
- Silver Spring, MD
National Provider Identifier
1891360194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- CNA2011174
- Practice address
- 1806 Blueridge Ave
Silver Spring, MD 20902-2934 - Phone
- (240) 643-5646
- NPI assigned
- May 20, 2021
- 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 |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | CNA2011174 | MD | Primary |
Addresses
Primary practice location
1806 Blueridge Ave
Silver Spring, MD 20902-2934
Mailing address
1806 Blueridge Ave
Silver Spring, MD 20902-2934
Phone (240) 643-5646
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
| License | State | Type | Specialty |
|---|---|---|---|
| CNA2011174 | MD | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621468800000",
"number": "1891360194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1806 BLUERIDGE AVE",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209022934",
"telephone_number": "240-643-5646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1806 BLUERIDGE AVE",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209022934",
"telephone_number": "240-643-5646"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEJEDA",
"first_name": "CYNTHIA",
"middle_name": "ALTAGRACIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-20",
"last_updated": "2021-05-20",
"certification_date": "2021-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "MD",
"license": "CNA2011174",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.