Individual provider Active NPI

Emile Cheuyou Youmbi

  • Licensed Practical Nurse
  • College Park, MD
National Provider Identifier
1285071878
Registry record updated May 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
DCDOH06000117144 Issued in DC
Practice address
4920 Niagara Rd Ste 318-320
College Park, MD 20740-1110
Phone
(301) 982-6477
NPI assigned
May 23, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X DCDOH06000117144 DC Primary

Addresses

Primary practice location

4920 Niagara Rd Ste 318-320
College Park, MD 20740-1110

Mailing address

11312 Evans TRL Apt 202
Beltsville, MD 20705-3008
Phone (240) 432-3953

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

LicenseStateTypeSpecialty
DCDOH06000117144DCMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Ultimate Goal Home Care Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1369267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369267200000",
    "number": "1285071878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11312 EVANS TRL APT 202",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207053008",
            "telephone_number": "240-432-3953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4920 NIAGARA RD STE 318-320",
            "city": "COLLEGE PARK",
            "state": "MD",
            "postal_code": "207401110",
            "telephone_number": "301-982-6477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUMBI",
        "first_name": "EMILE",
        "middle_name": "CHEUYOU",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-23",
        "last_updated": "2013-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "DC",
            "license": "DCDOH06000117144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in College Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2013; 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.