Individual provider Active NPI

Grace Nahbila

  • Licensed Vocational Nurse
  • Hyattsville, MD
National Provider Identifier
1386993715
Registry record updated Aug 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
53094 Issued in DC
Practice address
6475 New Hampshire Ave Ste 500a
Hyattsville, MD 20783-3295
Phone
(301) 560-1352
Fax
(301) 238-4714
NPI assigned
Aug 30, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X 53094 DC Primary

Addresses

Primary practice location

6475 New Hampshire Ave Ste 500a
Hyattsville, MD 20783-3295

Mailing address

6475 New Hampshire Ave Ste 500a
Hyattsville, MD 20783-3295
Phone (301) 560-1352

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
53094DCMDLicensed Vocational Nurse

NPI Registry JSON

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

{
    "created_epoch": "1346284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346284800000",
    "number": "1386993715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6475 NEW HAMPSHIRE AVE STE 500A",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207833295",
            "telephone_number": "301-560-1352",
            "fax_number": "301-238-4714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6475 NEW HAMPSHIRE AVE STE 500A",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207833295",
            "telephone_number": "301-560-1352",
            "fax_number": "301-238-4714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAHBILA",
        "first_name": "GRACE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-30",
        "last_updated": "2012-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "DC",
            "license": "53094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyattsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.

Verify at the official NPI Registry.