Active NPI
Aubreville Agathon Tassotsa Ndjitsa
- Case Manager/Care Coordinator
- Washington, DC
National Provider Identifier
1891484101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 4130 Hunt PL NE
Washington, DC 20019-3565 - Phone
- (202) 388-4300
- NPI assigned
- May 3, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | |||
| Case Manager/Care Coordinator | 171M00000X | Primary | ||
| Community Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0812X | 251B00000X | DC |
Addresses
Primary practice location
4130 Hunt PL NE
Washington, DC 20019-3565
Mailing address
11804 Chantilly LN
Bowie, MD 20721-2131
Phone (240) 879-7329
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 |
|---|---|---|---|
| 251B00000X | DC | MD | Community Psychiatric/Mental Health Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788307200000",
"number": "1891484101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11804 CHANTILLY LN",
"city": "BOWIE",
"state": "MD",
"postal_code": "207212131",
"telephone_number": "240-879-7329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4130 HUNT PL NE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200193565",
"telephone_number": "202-388-4300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TASSOTSA NDJITSA",
"first_name": "AUBREVILLE AGATHON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-05-03",
"last_updated": "2026-09-02",
"certification_date": "2026-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
},
{
"code": "364SP0812X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Community",
"state": "DC",
"license": "251B00000X",
"primary": false
}
],
"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 Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.