Active NPI
Nabesa Nyota Herring, M.D.
- Family Medicine Physician
- Capitol Heights, MD
National Provider Identifier
1184019382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- D0048294
- Practice address
- 1458 Addison Road South
Greater Baden at Capitol Heights
Capitol Heights, MD 20743 - Phone
- (301) 324-6405
- NPI assigned
- Apr 3, 2015
- Last updated
- Apr 3, 2015
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | D0048294 | MD | Primary |
Addresses
Primary practice location
1458 Addison Road South
Greater Baden at Capitol Heights
Capitol Heights, MD 20743
Mailing address
7450 Albert Road, 3Rd Floor
Greater Baden Medical Services
Brandywine, MD 20613
Phone (301) 599-0460
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0048294 | MD | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428019200000",
"number": "1184019382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7450 ALBERT ROAD, 3RD FLOOR",
"address_2": "GREATER BADEN MEDICAL SERVICES",
"city": "BRANDYWINE",
"state": "MD",
"postal_code": "20613",
"telephone_number": "301-599-0460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1458 ADDISON ROAD SOUTH",
"address_2": "GREATER BADEN AT CAPITOL HEIGHTS",
"city": "CAPITOL HEIGHTS",
"state": "MD",
"postal_code": "20743",
"telephone_number": "301-324-6405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERRING",
"first_name": "NABESA",
"middle_name": "NYOTA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-03",
"last_updated": "2015-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MD",
"license": "D0048294",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.