Active NPI
Melanie Akama Ebot Mbwang
- Home Health Aide
- Takoma Park, MD
National Provider Identifier
1467934703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- HHA13938
- Practice address
- 1102 Linden Ave Apt 203
Takoma Park, MD 20912-6514 - Phone
- (240) 595-9631
- Fax
- (202) 388-4230
- NPI assigned
- Sep 4, 2018
- Sex
- Female
- 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 | HHA13938 | DC | Primary |
Addresses
Primary practice location
1102 Linden Ave Apt 203
Takoma Park, MD 20912-6514
Mailing address
7001 96TH Ave
Lanham, MD 20706-3615
Phone (240) 595-9631
Other names 1
- Mrs. Melanie Akama Ebot Mbwang
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 |
|---|---|---|---|
| HHA13938 | DC | MD | Home Health Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727827200000",
"number": "1467934703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7001 96TH AVE",
"city": "LANHAM",
"state": "MD",
"postal_code": "207063615",
"telephone_number": "240-595-9631",
"fax_number": "202-388-4230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1102 LINDEN AVE APT 203",
"city": "TAKOMA PARK",
"state": "MD",
"postal_code": "209126514",
"telephone_number": "240-595-9631",
"fax_number": "202-388-4230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EBOT MBWANG",
"first_name": "MELANIE",
"middle_name": "AKAMA",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-04",
"last_updated": "2024-10-02",
"certification_date": "2024-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "DC",
"license": "HHA13938",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MELANIE",
"last_name": "EBOT MBWANG",
"middle_name": "AKAMA",
"prefix": "MRS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Takoma Park, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.