Active NPI
Mbeng Enow, LPN
- Personal Care Attendant
- Greenbelt, MD
National Provider Identifier
1033512041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- License
- LPN1007418
- Practice address
- 9332 Edmonston Rd Apt 203
Greenbelt, MD 20770-4346 - Phone
- (240) 705-2502
- NPI assigned
- Oct 3, 2014
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | LPN1007418 | DC | Primary |
Addresses
Primary practice location
9332 Edmonston Rd Apt 203
Greenbelt, MD 20770-4346
Mailing address
9332 Edmonston Rd Apt 203
Greenbelt, MD 20770-4346
Phone (240) 705-2502
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
| License | State | Type | Specialty |
|---|---|---|---|
| LPN1007418 | DC | MD | Personal Care Attendant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412294400000",
"number": "1033512041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9332 EDMONSTON RD APT 203",
"city": "GREENBELT",
"state": "MD",
"postal_code": "207704346",
"telephone_number": "240-705-2502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9332 EDMONSTON RD APT 203",
"city": "GREENBELT",
"state": "MD",
"postal_code": "207704346",
"telephone_number": "240-705-2502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENOW",
"first_name": "MBENG",
"credential": "LPN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-10-03",
"last_updated": "2014-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": "DC",
"license": "LPN1007418",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenbelt, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.