Active NPI
Edwige Mbiakeu Noungwa
- Case Manager/Care Coordinator
- Waldorf, MD
National Provider Identifier
1205196623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 2831 Harrison CT
Waldorf, MD 20603-3907 - Phone
- (240) 551-1267
- NPI assigned
- May 18, 2012
- Last updated
- Dec 4, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | DC | ||
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
2831 Harrison CT
Waldorf, MD 20603-3907
Mailing address
2831 Harrison CT
Waldorf, MD 20603-3907
Phone (240) 551-1267
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701648000000",
"number": "1205196623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2831 HARRISON CT",
"city": "WALDORF",
"state": "MD",
"postal_code": "206033907",
"telephone_number": "240-551-1267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2831 HARRISON CT",
"city": "WALDORF",
"state": "MD",
"postal_code": "206033907",
"telephone_number": "240-551-1267"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOUNGWA",
"first_name": "EDWIGE",
"middle_name": "MBIAKEU",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-18",
"last_updated": "2023-12-04",
"certification_date": "2023-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "DC",
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waldorf, MD
- Jimmy Norman, DNP, MSN, RN, APHN
- Northgate Pharmacy Inc. (Northgate Care Pharmacy)
- Kecia Northington, LGSW
- Frank Edward Norton, PH.D.
- Sammy Stefan Noumbissi
- Sandrine D Noutchia, PMHNP
- Nova Physical Therapy, LLC
- Deborah Ruth Noyes, DMD
- NP Compassionate Care, LLC
- NRH/CPT/St.Mary/Civista Regional Rehabilitation, Inc. (NRH Rehabilitation Network @ Waldorf)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.