Tyneice Stupart
Physician β’ Kettering, MD
10478 Campus Way S Ste 179
Kettering, MD 207741304
Phone: 2404849262
Location details and other listingsThis profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
This NPI Is Deactivated in NPPES
NPPES lists this NPI as deactivated as of March 13, 2025; the reason is not published. The records below are historical. They do not show whether Tyneice Stupart currently practices or holds a license; check the state medical board for current license status.
Practice Location & Contact Primary Location
10478 Campus Way S Ste 179
Kettering, MD 207741304
What Public CMS Data Show
Physician: NPPES taxonomy is a reported classification, not proof of board certification.
NPI first issued
2022
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Compared with the same specialty in Kettering and Maryland
Comparisons are not shown because NPPES lists this NPI as deactivated.
Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo Β· Report an error.
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 335E00000X
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
NPPES lists this NPI as deactivated as of March 13, 2025; the reason is not published.
NPI status registered as active in NPPES database
Registered at 10478 CAMPUS WAY S STE 179, KETTERING, MD 207741304 (Tel: 2404849262)
Registered at 3682 KING ST UNIT 3374, ALEXANDRIA, VA 223028813 (Tel: 2404849262)
Recorded as TYNEICE STUPART
Prosthetic/Orthotic Supplier
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Mailing Address
3682 King St Unit 3374
Alexandria, VA 223028813
Phone: 2404849262