Individual provider Active NPI

Melanie Akama Ebot Mbwang

  • Home Health Aide
  • Takoma Park, MD
National Provider Identifier
1467934703
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
HHA13938 Issued in DC
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

Updated by the provider on Oct 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
HHA13938DCMDHome 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.

Verify at the official NPI Registry.