Marguerite Marie Mbouma, RN

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

R147886 Issued in MD

Practice address

2809 Terrace Dr Apt 111
Chevy Chase, MD 20815-7809

Phone

(301) 928-8242

NPI assigned

Oct 31, 2019

Last updated

Oct 31, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1572480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572480000000",
    "number": "1134763261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2809 TERRACE DR APT 111",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208157809",
            "telephone_number": "301-928-8242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2809 TERRACE DR APT 111",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208157809",
            "telephone_number": "301-928-8242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MBOUMA",
        "first_name": "MARGUERITE",
        "middle_name": "MARIE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-31",
        "last_updated": "2019-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "R147886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Ann Matticola, N.P.
• Maureen Rieras LLC
• Hylton Richard Mayer, M. D.
• Laurie R. Maynard, LCPC
• Stuart Maynard, PH.D. CRNP, CNS-PMH
• Janelle Lovell McCarthy, LGPC
• Elizabeth McClellan, PA
• Cynthia McCollum
• Lila Teresa McConnell, MD
• Jeanne Marie McDonald

• Internal Medicine Physician in Chevy Chase, MD
• Providers in Chevy Chase, MD by specialty
• Internal Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.