Individual provider Active NPI

Razia Sebuliba

  • Family Nurse Practitioner
  • Laurel, MD
National Provider Identifier
1326573965
Registry record updated Apr 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN59814 Issued in DC
Practice address
10120 Bignonia Drive
Laurel, MD 20708
Phone
(202) 285-8981
NPI assigned
Apr 20, 2017
Last updated
Apr 20, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN59814 DC Primary

Addresses

Primary practice location

10120 Bignonia Drive
Laurel, MD 20708

Mailing address

10120 Bignonia Drive
Laurel, MD 20708
Phone (202) 285-8981

Other names 1

  • Ms. Razia Sebuliba Professional name

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN59814DCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Azra a Ahmed MD/PA CurrentSince Aug 11, 2020 Accepting new patients
Amiable Home Health Inc. Past Accepting new patients
Amiable Home Health Inc. Past Accepting new patients

Locations

821 N Eutaw St
Ste 103
Baltimore, MD 21201
Phone (410) 225-8760

Organizations & group practices 3

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": "1492646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492646400000",
    "number": "1326573965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10120 BIGNONIA DRIVE",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "20708",
            "telephone_number": "202-285-8981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10120 BIGNONIA DRIVE",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "20708",
            "telephone_number": "202-285-8981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEBULIBA",
        "first_name": "RAZIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-20",
        "last_updated": "2017-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DC",
            "license": "RN59814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAZIA",
            "last_name": "SEBULIBA",
            "prefix": "MS.",
            "credential": "FNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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 Apr 20, 2017; 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.