Jecika Enyoh Tibah

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN500125701 Issued in DC

Practice address

303 Herrington Dr
Upper Marlboro, MD 20774-1511

Phone

(240) 487-8245

NPI assigned

Sep 3, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1630627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1306514211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 HERRINGTON DR",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207741511",
            "telephone_number": "240-487-8245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 HERRINGTON DR",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207741511",
            "telephone_number": "240-487-8245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIBAH",
        "first_name": "JECIKA",
        "middle_name": "ENYOH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-03",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "DC",
            "license": "RN500125701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kirdesia Monet Thompson, MD
• Naeem Thompson
• Rochelle Thompson
• Sean Thompson
• Tyra L Thompson, LCPC
• Tic Toc Healthcare Inc
• Tic Toc Healthcare Inc
• Fon Elvis Tifang
• Philipa Tifang
• Tillie'S House of Hope

• Registered Nurse in Upper Marlboro, MD
• Providers in Upper Marlboro, MD by specialty
• Registered Nurse in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2025; 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.