Individual provider Active NPI

Dawn Sherryl S Nwaebube, DNP, FNP-C

  • Family Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1003645581
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R233815 Issued in MD
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

Updated by the provider on Jul 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

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

LicenseStateTypeSpecialty
R233815MDMDFamily 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

Verify at the official NPI Registry.