Active NPI
Dawn Sherryl S Nwaebube, DNP, FNP-C
- Family Nurse Practitioner
- Baltimore, MD
National Provider Identifier
1003645581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R233815
- Practice address
- 655 W Lombard St
Baltimore, MD 21201-1512 - Phone
- (410) 706-3100
- NPI assigned
- Jul 31, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R233815 | MD | Primary |
Addresses
Primary practice location
655 W Lombard St
Baltimore, MD 21201-1512
Mailing address
10301 Grand Central Ave Apt 329
Owings Mills, MD 21117-4073
Phone (919) 349-0282
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of Maryland School of Medicine, 2018
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1834 Oregon Pike
Suite 20
Lancaster, PA 17601-6400
8116 Good Luck Rd
Suite 305
Lanham, MD 20706-3502
8116 Good Luck Rd
Suite 305
Lanham, MD 20706-3508
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R233815 | MD | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722384000000",
"number": "1003645581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10301 GRAND CENTRAL AVE APT 329",
"city": "OWINGS MILLS",
"state": "MD",
"postal_code": "211174073",
"telephone_number": "919-349-0282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "655 W LOMBARD ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212011512",
"telephone_number": "410-706-3100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NWAEBUBE",
"first_name": "DAWN SHERRYL",
"middle_name": "S",
"credential": "DNP, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-31",
"last_updated": "2024-07-31",
"certification_date": "2024-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "R233815",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; 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.