Active NPI
Chantal Tchoumba, FNP
- Family Nurse Practitioner
- Glen Burnie, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R188158
- Practice address
- 7704 Abrams LN
Glen Burnie, MD 21060 - Phone
- (410) 360-5829
- NPI assigned
- Dec 13, 2017
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R188158 | MD | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | R188158 | MD | |
| Family Nurse Practitioner | 363LF0000X | R188158 | MD | Primary |
Addresses
Primary practice location
7704 Abrams LN
Glen Burnie, MD 21060
Mailing address
7704 Abrams LN
Glen Burnie, MD 21060-7678
Phone (410) 360-5829
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180612002147 | DC | Practitioner - Nurse Practitioner | 4385999523 | Reassigns benefits to 2 organizations |
| I20180625001854 | MD | Practitioner - Nurse Practitioner | 4385999523 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Total Health Care Inc
Practice addresses (Care Compare)
1111 Washington Blvd
Baltimore, MD 21230-1824
Phone (410) 383-8300
1501 Division St
Baltimore, MD 21217-3121
Phone (410) 383-8300
1501 W Saratoga St
Baltimore, MD 21223-1749
Phone (410) 383-8300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alignmed Partners, PC | Current | Accepting new patients | |
| Thrive Counseling LLC | Current | Accepting new patients | |
| Brightness Solution Health | Psychiatric/Mental Health | Current | Accepting new patients |
| Total Health Care Inc | Past | Accepting new patients | |
| Total Health Care Inc | Past | Accepting new patients |
Locations
3330 Wilkens Ave
Baltimore, MD 21229
Phone (410) 525-1544
5410 Lynx Ln
Ste 285
Columbia, MD 21044
Phone (410) 740-3240
347 Ballenger Center Dr
Frederick, MD 21703
Phone (301) 633-5181
1801 Wentworth Rd
Parkville, MD 21234
Phone (410) 661-5717
310 Genesis Way
Ste 600
Severna Park, MD 21146
Phone (410) 544-4220
3227 Bel Pre Rd
Silver Spring, MD 20906
Phone (301) 871-2000
1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263
Interoperability endpoints
- chantal.tchoumba.p1@direct.bmsi.nextgenshare.com
Organizations & group practices 13
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Glen Burnie, MD
- NPI 1578351144
MD, Psychiatric/Mental Health
-
- Geriatric Medicine (Internal Medicine) Physician
- Gardendale, AL
- NPI 1881109452
DC, MD
-
- Federally Qualified Health Center (FQHC)
- Baltimore, MD
- NPI 1013902485
-
- Federally Qualified Health Center (FQHC)
- Baltimore, MD
- NPI 1992889943
-
- Federally Qualified Health Center (FQHC)
- Baltimore, MD
- NPI 1588964399
-
- Federally Qualified Health Center (FQHC)
- Baltimore, MD
- NPI 1801880315
-
- Federally Qualified Health Center (FQHC)
- Baltimore, MD
- NPI 1801881271
-
- Federally Qualified Health Center (FQHC)
- Odenton, MD
- NPI 1881439958
-
- Community/Retail Pharmacy
- Baltimore, MD
- NPI 1932333226
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621555200000",
"number": "1962917864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7704 ABRAMS LN",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210607678",
"telephone_number": "410-360-5829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7704 ABRAMS LN",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "21060",
"telephone_number": "410-360-5829"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TCHOUMBA",
"first_name": "CHANTAL",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-12-13",
"last_updated": "2021-05-21",
"certification_date": "2021-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MD",
"license": "R188158",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MD",
"license": "R188158",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "R188158",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glen Burnie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2021; 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.