Individual provider Active NPI

Minete Agwesib Ndifon

  • Case Manager/Care Coordinator
  • Upper Marlboro, MD
National Provider Identifier
1891532560
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
1013 Andean Goose Way
Upper Marlboro, MD 20774-7129
Phone
(301) 836-8458
NPI assigned
Jul 10, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

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 DC Primary

Addresses

Primary practice location

1013 Andean Goose Way
Upper Marlboro, MD 20774-7129

Mailing address

1013 Andean Goose Way
Upper Marlboro, MD 20774-7129
Phone (301) 836-8458

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

NPI Registry JSON

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

{
    "created_epoch": "1720569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784764800000",
    "number": "1891532560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 ANDEAN GOOSE WAY",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207747129",
            "telephone_number": "301-836-8458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 ANDEAN GOOSE WAY",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207747129",
            "telephone_number": "301-836-8458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NDIFON",
        "first_name": "MINETE",
        "middle_name": "AGWESIB",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-10",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "DC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Marlboro, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.

Verify at the official NPI Registry.