Active NPI
Tingwei Clinton Tebo Sr.
- Community Health Worker
- Washington, DC
National Provider Identifier
1457170177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Practice address
- 3921 Minnesota Ave NE
Washington, DC 20019-2662 - Phone
- (202) 839-5310
- NPI assigned
- Oct 9, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | DC | Primary | |
| Case Manager/Care Coordinator | 171M00000X |
Addresses
Primary practice location
3921 Minnesota Ave NE
Washington, DC 20019-2662
Mailing address
3905 Blackburn LN Apt 44
Burtonsville, MD 20866-1247
Phone (240) 659-9669
Other practice location 1
8338 Veterans Hwy
Millersville, MD 21108-2588
Phone (410) 505-5141
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": "1728432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774828800000",
"number": "1457170177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3905 BLACKBURN LN APT 44",
"city": "BURTONSVILLE",
"state": "MD",
"postal_code": "208661247",
"telephone_number": "240-659-9669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3921 MINNESOTA AVE NE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200192662",
"telephone_number": "202-839-5310"
}
],
"practiceLocations": [
{
"address_1": "8338 Veterans Hwy",
"address_purpose": "LOCATION",
"city": "Millersville",
"state": "MD",
"postal_code": "211082588",
"country_code": "US",
"telephone_number": "410-505-5141",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TEBO",
"first_name": "TINGWEI",
"middle_name": "CLINTON",
"name_suffix": "Sr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-10-09",
"last_updated": "2026-03-30",
"certification_date": "2026-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "DC",
"license": null,
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.