Individual provider Active NPI

Kumba Nkwabilwa Bayugile, MD

  • Nurse's Aide
  • Upper Marlboro, MD
National Provider Identifier
1144608647
Registry record updated May 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
License
A00147837 Issued in MD
Practice address
15505 Cheswicke LN
Upper Marlboro, MD 20772-8221
Phone
(301) 535-4683
NPI assigned
May 15, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2015

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 A00147837 MD Primary

Addresses

Primary practice location

15505 Cheswicke LN
Upper Marlboro, MD 20772-8221

Mailing address

15505 Cheswicke LN
Upper Marlboro, MD 20772-8221
Phone (301) 535-4683

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A00147837MDMDNurse's Aide

NPI Registry JSON

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

{
    "created_epoch": "1431648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431648000000",
    "number": "1144608647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15505 CHESWICKE LN",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207728221",
            "telephone_number": "301-535-4683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15505 CHESWICKE LN",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207728221",
            "telephone_number": "301-535-4683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAYUGILE",
        "first_name": "KUMBA",
        "middle_name": "NKWABILWA",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-15",
        "last_updated": "2015-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "MD",
            "license": "A00147837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Marlboro, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2015; 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.