Active NPI
Mamusu Gibateh
- Licensed Practical Nurse
- Washington, DC
National Provider Identifier
1497133763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- LPN1005495
- Practice address
- 1301 7TH St NW
Apt. 718
Washington, DC 20001-3564 - Phone
- (202) 372-6449
- NPI assigned
- May 7, 2015
- 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | LPN1005495 | DC | Primary |
Addresses
Primary practice location
1301 7TH St NW
Apt. 718
Washington, DC 20001-3564
Mailing address
1301 7TH St NW
Apt. 718
Washington, DC 20001-3564
Phone (202) 372-6449
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 |
|---|---|---|---|
| LPN1005495 | DC | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430956800000",
"number": "1497133763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 7TH ST NW",
"address_2": "APT. 718",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200013564",
"telephone_number": "202-372-6449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 7TH ST NW",
"address_2": "APT. 718",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200013564",
"telephone_number": "202-372-6449"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBATEH",
"first_name": "MAMUSU",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-05-07",
"last_updated": "2015-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "DC",
"license": "LPN1005495",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
- Giant of Maryland LLC (Giant Pharmacy #2376)
- Giant of Maryland LLC (Giant Pharmacy 378)
- Giant of Maryland LLC (Giant Pharmacy 375)
- Giant of Maryland LLC (Giant Pharmacy 376)
- Giant of Maryland LLC (Giant Pharmacy #2381)
- Andee Gibb, PHARMD
- Junette Gibbons, MD
- Kelly Kathleen Gibbons, MS, RD, LD
- Laurence O Gibbons Jr., DDS
- Martha Blechar Gibbons, PHD, RN, CPNP, CS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.