Individual provider Active NPI

Sharline Nyanga Mbongho

  • Nurse's Aide
  • New Carrollton, MD
National Provider Identifier
1023726478
Registry record updated Nov 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
License
CNA20223809 Issued in MD
Practice address
7765 Riverdale Rd Apt T3
New Carrollton, MD 20784-3928
Phone
(240) 790-6716
NPI assigned
Nov 14, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's Aide 376K00000X CNA20223809 MD Primary

Addresses

Primary practice location

7765 Riverdale Rd Apt T3
New Carrollton, MD 20784-3928

Mailing address

7765 Riverdale Rd Apt T3
New Carrollton, MD 20784-3928
Phone (240) 790-6716

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CNA20223809MDMDNurse's Aide

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1668384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668384000000",
    "number": "1023726478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7765 RIVERDALE RD APT T3",
            "city": "NEW CARROLLTON",
            "state": "MD",
            "postal_code": "207843928",
            "telephone_number": "240-790-6716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7765 RIVERDALE RD APT T3",
            "city": "NEW CARROLLTON",
            "state": "MD",
            "postal_code": "207843928",
            "telephone_number": "240-790-6716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MBONGHO",
        "first_name": "SHARLINE",
        "middle_name": "NYANGA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-14",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "MD",
            "license": "CNA20223809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Carrollton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.