Cissy Namubiru Mpanju

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

R212100 Issued in MD

Practice address

2000 Callaway St
Temple Hills, MD 20748-4353

Phone

(301) 702-3950

NPI assigned

Apr 29, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1651190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651190400000",
    "number": "1457096992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 CALLAWAY ST",
            "city": "TEMPLE HILLS",
            "state": "MD",
            "postal_code": "207484353",
            "telephone_number": "301-702-3950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 CALLAWAY ST",
            "city": "TEMPLE HILLS",
            "state": "MD",
            "postal_code": "207484353",
            "telephone_number": "301-702-3950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MPANJU",
        "first_name": "CISSY",
        "middle_name": "NAMUBIRU",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-29",
        "last_updated": "2022-04-29",
        "certification_date": "2022-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R21200",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R212100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Sheree Miles
• Alfred Mitchell
• Andrea R Moore, LMT
• Frank Moss, COTA
• Tia Moye
• Elizabeth Riri Munene
• Mildred Abeck Musong
• Myeyedr Optometry of Maryland, LLC
• Kanitra Myree
• Samantha Nadio

• All providers in Temple Hills, MD
• Registered Nurse in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2022; 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.