Individual provider Active NPI

Yvette Alemnge Atabong

  • Registered Nurse
  • Laurel, MD
National Provider Identifier
1306662218
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
890029 Issued in TX
Practice address
9502 Muirkirk Rd Apt 201
Laurel, MD 20708-2751
Phone
(806) 392-6735
NPI assigned
Nov 25, 2024
Last updated
Jan 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Registered Nurse 163W00000X 890029 TX Primary

Addresses

Primary practice location

9502 Muirkirk Rd Apt 201
Laurel, MD 20708-2751

Mailing address

9502 Muirkirk Rd Apt 201
Laurel, MD 20708-2751
Phone (806) 392-6735

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
890029TXMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1732492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1306662218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9502 MUIRKIRK RD APT 201",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207082751",
            "telephone_number": "806-392-6735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9502 MUIRKIRK RD APT 201",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207082751",
            "telephone_number": "806-392-6735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATABONG",
        "first_name": "YVETTE",
        "middle_name": "ALEMNGE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-25",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "890029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.