Individual provider Active NPI

Chantal Tchoumba, FNP

  • Family Nurse Practitioner
  • Glen Burnie, MD
National Provider Identifier
1962917864
Registry record updated May 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R188158 Issued in MD
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

Updated by the provider on May 21, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, MD2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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 57 clinicians

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

OrganizationSpecialtyStatusNew patients
Alignmed Partners, PC CurrentSince May 1, 2018 Accepting new patients
Thrive Counseling LLC CurrentSince Jan 21, 2022 Accepting new patients
Brightness Solution Health Psychiatric/Mental Health CurrentSince Apr 1, 2025 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

  • Direct secure messaging: 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.

View all 13

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

Verify at the official NPI Registry.