Individual provider Active NPI

Miranda Bessem Mbutambe, CRNP PMHNP DNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Clinton, MD
National Provider Identifier
1376801118
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
NP1035293 Issued in DC
Practice address
7700 Old Branch Ave Ste B201
Clinton, MD 20735-1605
Phone
(301) 289-7722
Fax
(301) 441-2518
NPI assigned
Apr 30, 2012
Last updated
Nov 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R233930 MD
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NP1035293 DC Primary
Primary Care Nurse Practitioner 363LP2300X NP1035293 DC
Family Nurse Practitioner 363LF0000X R233930 MD

Addresses

Primary practice location

7700 Old Branch Ave Ste B201
Clinton, MD 20735-1605

Mailing address

7700 Old Branch Ave Ste B201
Clinton, MD 20735-1605
Phone (202) 367-3927

Other practice location 1

7603 Georgia Ave NW Ste 101
Washington, DC 20012-1617
Phone (202) 726-1259

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190117002820 DC Practitioner - Nurse Practitioner 1759643240 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6201 Greenbelt Rd
Suite M14
Berwyn Heights, MD 20740-2333
Phone (301) 289-7722

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP1035293DCMDPsychiatric/Mental Health Nurse Practitioner
R233930MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cityworld Family Practice LLC Psychiatric/Mental Health Current Accepting new patients

Locations

7603 Georgia Ave NW
Ste 101
Washington, DC 20012
Phone (202) 658-6844

6201 Greenbelt Rd
Ste M14
Berwyn Heights, MD 20740
Phone (301) 289-7722

7700 Old Branch Ave
Ste B201
Clinton, MD 20735
Phone (202) 367-3927

Organizations & group practices 5

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": "1335744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762992000000",
    "number": "1376801118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7700 OLD BRANCH AVE STE B201",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207351605",
            "telephone_number": "202-367-3927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 OLD BRANCH AVE STE B201",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207351605",
            "telephone_number": "301-289-7722",
            "fax_number": "301-441-2518"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7603 Georgia Ave NW Ste 101",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200121617",
            "country_code": "US",
            "telephone_number": "202-726-1259",
            "fax_number": "202-618-6201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MBUTAMBE",
        "first_name": "MIRANDA",
        "middle_name": "BESSEM",
        "name_prefix": "Dr.",
        "credential": "CRNP PMHNP DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-30",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R233930",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "DC",
            "license": "NP1035293",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "DC",
            "license": "NP1035293",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R233930",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, MD

Sources for this page

Verify at the official NPI Registry.