Active NPI
Mary Yei Yie Nyandebo, CNA
- Home Health Aide
- Washington, DC
National Provider Identifier
1235835703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- AOO151531
- Practice address
- 151 Q St NE Apt 3503
Washington, DC 20002-2291 - Phone
- (404) 992-9086
- NPI assigned
- Feb 6, 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | A00151531 | MD | |
| Nurse's Aide | 376K00000X | A00151531 | MD | |
| Nurse's Aide | 376K00000X | AOO151531 | MD | |
| Home Health Aide | 374U00000X | AOO151531 | MD | Primary |
Addresses
Primary practice location
151 Q St NE Apt 3503
Washington, DC 20002-2291
Mailing address
151 Q St NE Apt 3503
Washington, DC 20002-2291
Phone (404) 992-9086
Other names 1
- Mrs. Mary Yei Yie Nyandebo
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A00151531 | MD | MD | Nurse's Aide |
| AOO151531 | MD | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675641600000",
"number": "1235835703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "151 Q ST NE APT 3503",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200022291",
"telephone_number": "404-992-9086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "151 Q ST NE APT 3503",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200022291",
"telephone_number": "404-992-9086"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NYANDEBO",
"first_name": "MARY",
"middle_name": "YEI YIE",
"name_prefix": "Mrs.",
"credential": "CNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-06",
"last_updated": "2023-02-06",
"certification_date": "2023-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "MD",
"license": "A00151531",
"primary": false
},
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "MD",
"license": "A00151531",
"primary": false
},
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "MD",
"license": "AOO151531",
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "MD",
"license": "AOO151531",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARY",
"last_name": "NYANDEBO",
"middle_name": "YEI YIE",
"prefix": "MRS.",
"credential": "CNA",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.