Individual provider Active NPI

Simeon Ifeanyi Umeobi, LPN

  • Licensed Practical Nurse
  • Bowie, MD
National Provider Identifier
1285807917
Registry record updated Sep 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
LP29845 Issued in MD
Practice address
12222 Kingswell St
Bowie, MD 20721-1952
Phone
(240) 463-1240
NPI assigned
Apr 2, 2008
Last updated
Sep 20, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2026

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 LP29845 MD Primary

Addresses

Primary practice location

12222 Kingswell St
Bowie, MD 20721-1952

Mailing address

12222 Kingswell St
Bowie, MD 20721-1952
Phone (240) 463-1240

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
LP29845MDMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Focus Behavioral Health PastSince Apr 10, 2022 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1207094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789862400000",
    "number": "1285807917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12222 KINGSWELL ST",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207211952",
            "telephone_number": "240-463-1240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12222 KINGSWELL ST",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207211952",
            "telephone_number": "240-463-1240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UMEOBI",
        "first_name": "SIMEON",
        "middle_name": "IFEANYI",
        "name_prefix": "Mr.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-02",
        "last_updated": "2026-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MD",
            "license": "LP29845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2026; 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.