Individual provider Active NPI

Yvonne Tangye Atemba, LPN, CNA

  • Home Health Aide
  • Bowie, MD
National Provider Identifier
1295220630
Registry record updated Jun 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
A00129430 Issued in MD
Practice address
10728 Willow Oaks Dr
Bowie, MD 20721-2757
Phone
(240) 505-4503
Fax
(202) 635-5780
NPI assigned
Jun 28, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X LPN1008558 DC
Home Health Aide 374U00000X A00129430 MD Primary

Addresses

Primary practice location

10728 Willow Oaks Dr
Bowie, MD 20721-2757

Mailing address

1731 Bunker Hill Rd NE
Washington, DC 20017-3026
Phone (202) 635-5756

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
LPN1008558DCMDLicensed Practical Nurse
A00129430MDMDHome Health Aide

NPI Registry JSON

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

{
    "created_epoch": "1530144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530144000000",
    "number": "1295220630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1731 BUNKER HILL RD NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200173026",
            "telephone_number": "202-635-5756",
            "fax_number": "202-635-5780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10728 WILLOW OAKS DR",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207212757",
            "telephone_number": "240-505-4503",
            "fax_number": "202-635-5780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANGYE ATEMBA",
        "first_name": "YVONNE",
        "credential": "LPN, CNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-28",
        "last_updated": "2018-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "DC",
            "license": "LPN1008558",
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "MD",
            "license": "A00129430",
            "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 Jun 28, 2018; 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.