Active NPI
Evelyne Ngwamafong
- Licensed Practical Nurse
- Lanham, MD
National Provider Identifier
1477814291
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective Sep 20, 2026.
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- LPN500023692
- Practice address
- 9757 Good Luck Rd Apt 6
Lanham, MD 20706-3327 - Phone
- (301) 523-9994
- NPI assigned
- Jun 7, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | LPN500023692 | DC | Primary |
Addresses
Primary practice location
9757 Good Luck Rd Apt 6
Lanham, MD 20706-3327
Mailing address
9757 Good Luck Rd Apt 6
Lanham, MD 20706-3327
Phone (301) 523-9994
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": "1339027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787616000000",
"number": "1477814291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9757 GOOD LUCK RD APT 6",
"city": "LANHAM",
"state": "MD",
"postal_code": "207063327",
"telephone_number": "301-523-9994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9757 GOOD LUCK RD APT 6",
"city": "LANHAM",
"state": "MD",
"postal_code": "207063327",
"telephone_number": "301-523-9994"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGWAMAFONG",
"first_name": "EVELYNE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-06-07",
"last_updated": "2026-08-25",
"certification_date": "2026-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Licensed Practical Nurse",
"state": "DC",
"license": "LPN500023692",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lanham, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.