Organization Active NPI

Bibi Adult Primary Care, Limited Liability Company

  • Primary Care Nurse Practitioner
  • Middle River, MD
National Provider Identifier
1184590689
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
BIBI ADULT PRIMARY CARE, LIMITED LIABILITY COMPANY
Practice address
16 Granny Smith CT
Middle River, MD 21220-1749
Phone
(443) 717-4762
Fax
(443) 717-4762
NPI assigned
Oct 13, 2025
Last updated
Oct 29, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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

Authorized official

Name
Bibiana Anyanwu, CRNPNPI 1891778791
Title
Provider
Phone
(443) 717-4762

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X NU Primary

Addresses

Primary practice location

16 Granny Smith CT
Middle River, MD 21220-1749

Mailing address

16 Granny Smith CT
Middle River, MD 21220-1749
Phone (443) 717-4762

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260123001496 MD Part B Supplier - Clinic/Group Practice 6709363468 Receives reassigned benefits from 1 practitioner
Practice locations: Middle River, MD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1760313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761696000000",
    "number": "1184590689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 GRANNY SMITH CT",
            "city": "MIDDLE RIVER",
            "state": "MD",
            "postal_code": "212201749",
            "telephone_number": "443-717-4762",
            "fax_number": "443-717-4762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 GRANNY SMITH CT",
            "city": "MIDDLE RIVER",
            "state": "MD",
            "postal_code": "212201749",
            "telephone_number": "443-717-4762",
            "fax_number": "443-717-4762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIBI ADULT PRIMARY CARE, LIMITED LIABILITY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-13",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A",
        "authorized_official_last_name": "ANYANWU",
        "authorized_official_first_name": "BIBIANA",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "443-717-4762",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middle River, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.