Active NPI
Atabong Nkematabong, HHA
- Home Health Aide
- Greenbelt, MD
National Provider Identifier
1356895064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- HHA12306
- Practice address
- 6220 Breezewood Dr
Apt 303
Greenbelt, MD 20770-1128 - Phone
- (301) 454-9933
- NPI assigned
- Aug 10, 2016
- 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 | HHA12306 | DC | Primary |
Addresses
Primary practice location
6220 Breezewood Dr
Apt 303
Greenbelt, MD 20770-1128
Mailing address
6220 Breezewood Dr
Apt 303
Greenbelt, MD 20770-1128
Phone (301) 454-9933
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
| License | State | Type | Specialty |
|---|---|---|---|
| HHA12306 | DC | MD | Home Health Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522627200000",
"number": "1356895064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6220 BREEZEWOOD DR",
"address_2": "APT 303",
"city": "GREENBELT",
"state": "MD",
"postal_code": "207701128",
"telephone_number": "301-454-9933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6220 BREEZEWOOD DR",
"address_2": "APT 303",
"city": "GREENBELT",
"state": "MD",
"postal_code": "207701128",
"telephone_number": "301-454-9933"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NKEMATABONG",
"first_name": "ATABONG",
"credential": "HHA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-08-10",
"last_updated": "2018-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "DC",
"license": "HHA12306",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenbelt, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.