Christelle Nbutobog Nana

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

N-500-115-623-334 Issued in MD

Practice address

13918 Castle Blvd
Apt 304
Silver Spring, MD 20904-4954

Phone

(678) 740-4602

NPI assigned

Jun 11, 2012

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

Other names 1

• Christelle Nbutobog Former name

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": "1339372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686182400000",
    "number": "1477815975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13918 CASTLE BLVD",
            "address_2": "APT 304",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209044954",
            "telephone_number": "678-740-4602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13918 CASTLE BLVD",
            "address_2": "APT 304",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209044954",
            "telephone_number": "678-740-4602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NANA",
        "first_name": "CHRISTELLE",
        "middle_name": "NBUTOBOG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-11",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "MD",
            "license": "N-131-115-018-334",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "MD",
            "license": "N-500-115-623-334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTELLE",
            "last_name": "NBUTOBOG",
            "credential": "CHRISTELLE NBUTOBOG",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Case Manager/Care Coordinator in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Case Manager/Care Coordinator in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; 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.