Ulrica Olayinka Mbayo

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

PENDING Issued in MD

Practice address

3201 Orient Fishtail Rd
Laurel, MD 20724-2931

Phone

(240) 426-6968

NPI assigned

Jun 15, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Epic Home Health Services LLC

  • Home Health Agency
  • Reston, VA
  • NPI 1912580440
  NPD

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

{
    "created_epoch": "1592179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592179200000",
    "number": "1215552302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 ORIENT FISHTAIL RD",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207242931",
            "telephone_number": "240-426-6968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 ORIENT FISHTAIL RD",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207242931",
            "telephone_number": "240-426-6968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MBAYO",
        "first_name": "ULRICA",
        "middle_name": "OLAYINKA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-15",
        "last_updated": "2020-06-15",
        "certification_date": "2020-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Solomon Tinong Mbah
• Telma Naah Mbangah
• Enjeck Reriane Mbanwei
• Vyvian Mbanwie, HHA
• Sebastian Mbariku
• Joseph Mbella
• Precious Diange Mbenja
• Peter T Mbi, PHARM.D., PH.D
• Achu N Mbide
• Judith N Mbide

• Family Nurse Practitioner in Laurel, MD
• Providers in Laurel, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2020; 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.