Active NPI
Nyambi Carlson
- Home Health Aide
- Laurel, MD
National Provider Identifier
1336496397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Practice address
- 9900 Washington Blvd N Apt 311
Laurel, MD 20723-1977 - Phone
- (240) 480-3746
- NPI assigned
- Aug 9, 2012
- Last updated
- Aug 9, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | NU | Primary |
Addresses
Primary practice location
9900 Washington Blvd N Apt 311
Laurel, MD 20723-1977
Mailing address
1328 G St SE
Washington, DC 20003-3021
Other names 1
- Nyambi Carlson
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344470400000",
"number": "1336496397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1328 G ST SE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200033021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9900 WASHINGTON BLVD N APT 311",
"city": "LAUREL",
"state": "MD",
"postal_code": "207231977",
"telephone_number": "240-480-3746"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLSON",
"first_name": "NYAMBI",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-08-09",
"last_updated": "2012-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NYAMBI",
"last_name": "CARLSON",
"credential": "HHA",
"code": "5",
"type": "Other 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 Aug 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.