Individual provider Active NPI

Jebeh Baimba

  • Family Nurse Practitioner
  • Lanham, MD
National Provider Identifier
1144799834
Registry record updated Nov 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R210450 Issued in MD
Practice address
6902 Storch Cir
Lanham, MD 20706-2177
Phone
(301) 794-4907
NPI assigned
Nov 25, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2018

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 R210450 MD Primary

Addresses

Primary practice location

6902 Storch Cir
Lanham, MD 20706-2177

Mailing address

6902 Storch Cir
Lanham, MD 20706-2177
Phone (301) 749-4970

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC, TX3 enrollments
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.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20190412000823 MD Practitioner - Nurse Practitioner 5496096802
I20190912000128 DC Practitioner - Nurse Practitioner 5496096802 Reassigns benefits to 1 organization
I20221005000250 TX Practitioner - Nurse Practitioner 5496096802 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Amber M Jobe Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1543104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543104000000",
    "number": "1144799834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6902 STORCH CIR",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207062177",
            "telephone_number": "301-749-4970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6902 STORCH CIR",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207062177",
            "telephone_number": "301-794-4907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAIMBA",
        "first_name": "JEBEH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-25",
        "last_updated": "2018-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R210450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lanham, MD

Sources for this page

Verify at the official NPI Registry.